Individual
ALISA NICOLE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 HOWE AVE STE 400-B, SACRAMENTO, CA 95825-4731
(916) 993-4131
Mailing address
650 HOWE AVE STE 400-B, SACRAMENTO, CA 95825-4731
(916) 993-4131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/08/2015
Last updated
09/07/2021
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