Individual
ADAM EDWARD LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
(916) 729-3098
Mailing address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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