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Individual

MR. RICHARD FRANCIS LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
4018 20TH ST W, BRADENTON, FL 34205-5002
(941) 751-4168
(941) 751-2407
Mailing address
6326 THORNDON CIR, UNIVERSITY PARK, FL 34201-2306
(941) 751-4168
(941) 751-2407

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT640
FL

Other

Enumeration date
08/01/2006
Last updated
07/09/2007
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