Individual
ANGELA LYNN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2561 PORTSMOUTH AVE, TOLEDO, OH 43613-4309
(419) 320-0947
Mailing address
2561 PORTSMOUTH AVE, TOLEDO, OH 43613-4309
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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