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Individual

MRS. CLARE ELLEN LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10 PARSONAGE RD, SUITE 118, EDISON, NJ 08837-2429
(732) 494-9400
Mailing address
11 ORCHARD LN, LEBANON, NJ 08833-4443
(908) 420-5461

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00448200
NJ

Other

Enumeration date
04/24/2014
Last updated
04/24/2014
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