Individual
BRIANNA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 FERNSLER DR, QUARRYVILLE, PA 17566-9584
(484) 354-9095
Mailing address
2 FERNSLER DR, QUARRYVILLE, PA 17566-9584
(484) 354-9095
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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