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Individual

DR. GEOFFREY W LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4951 ARROYO RD, (116B/LIV), LIVERMORE, CA 94550-9650
(925) 373-4700
(925) 449-6545
Mailing address
4951 ARROYO RD, (116B/LIV), LIVERMORE, CA 94550-9650
(925) 373-4700
(925) 449-6545

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20829
CA

Other

Enumeration date
06/29/2006
Last updated
01/11/2010
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