Organization
CHIROPRACTIC LANE AND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD JACOB LANE DC (OWNER)
(973) 344-5656
Entity
Organization
Contact information
Practice address
290 FERRY ST, SUITE A1, NEWARK, NJ 07105-3475
(973) 344-5656
(973) 344-5633
Mailing address
290 FERRY ST, SUITE A1, NEWARK, NJ 07105-3475
(973) 344-5656
(973) 344-5633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00671700
NJ
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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