Individual
MRS. DONNA G LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
16055 VENTURA BLVD STE 1033, ENCINO, CA 91436-2611
(818) 435-8333
Mailing address
16055 VENTURA BLVD STE 1033, ENCINO, CA 91436-2611
(818) 435-8333
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY25751
CA
Other
Enumeration date
07/28/2008
Last updated
06/14/2013
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