Individual
MS. ANAIS DANIELLE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11480 BROOKSHIRE AVE, SUITE 309, DOWNEY, CA 90241-5025
(562) 869-1201
(562) 869-1281
Mailing address
18000 STUDEBAKER RD STE 800, CERRITOS, CA 90703-2671
(562) 735-3226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811261084
—
CA
Enumeration date
03/05/2012
Last updated
11/21/2018
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