Individual
ANTWON LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1715 SPRINGFIELD ST # 8B, DAYTON, OH 45403-1431
(937) 723-8854
Mailing address
1715 SPRINGFIELD ST # 8B, DAYTON, OH 45403-1431
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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