Individual
MR. JOHN EDWARD LANE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
21 BURNSIDE STREET, LANCASTER, NH 03584-3241
(603) 381-0101
(603) 788-3720
Mailing address
21 BURNSIDE STREET, LANCASTER, NH 03584-3241
(603) 381-0101
(603) 788-3720
Taxonomy
Speciality
Code
Description
License number
State
225XH1300X
Human Factors Occupational Therapist
Primary
0405
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11446001
CAQH ID
NH
Enumeration date
11/27/2006
Last updated
07/09/2007
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