Individual
MRS. SONYA BROWN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
808 BEECHLEAF CT, LEXINGTON, SC 29072-7402
(803) 996-3825
Mailing address
808 BEECHLEAF CT, LEXINGTON, SC 29072-7402
(803) 996-3825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1546
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0717
—
SC
Enumeration date
08/14/2006
Last updated
07/08/2007
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