Individual
JODIE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5 TARRYHILL RD, TARRYTOWN, NY 10591-6507
(914) 844-1904
Mailing address
5 TARRYHILL RD, TARRYTOWN, NY 10591-6507
(914) 844-1904
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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