Individual
ANDREW CHRISTOPHER LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14301 FNB PKWY STE 100, OMAHA, NE 68154-7200
(402) 807-7447
Mailing address
12115 S 208TH AVE, GRETNA, NE 68028-4073
(402) 779-5913
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-380138
NE
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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