Individual
LANE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S COLLEGE AVE, NEWARK, DE 19716-5200
(678) 579-2551
Mailing address
5890 MILLWICK DR, JOHNS CREEK, GA 30005-6731
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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