Individual
GERALD LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1786 BLANDING BLVD STE 15, MIDDLEBURG, FL 32068-3806
(904) 902-4001
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AS5812
FL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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