Individual
JENNIFER MARIE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2445 NE DIVISION ST STE 101, BEND, OR 97703-3568
(541) 797-7743
Mailing address
2445 NE DIVISION ST STE 101, BEND, OR 97703-3568
(541) 797-7743
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1279
HI
111N00000X
Chiropractor
32880
CA
111N00000X
Chiropractor
Primary
6050
OR
Other
Enumeration date
02/12/2015
Last updated
03/17/2020
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