Individual
JOANNE SYLVIA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
651 HIGH ST, BURLINGTON, NJ 08016-2737
(609) 386-0775
(609) 386-4372
Mailing address
1 N WHITE HORSE PIKE, HAMMONTON, NJ 08037-1875
(609) 567-0434
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0102204108
VA
208000000X
Pediatrics Physician
Primary
25MB11177000
NJ
Other
Enumeration date
05/22/2012
Last updated
09/29/2021
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