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John L Lane Jr.

Community Health Worker in Athens, OH. Individual provider (NPI-1).

NPI number1104788231
StatusActive
Last updated in NPPESNov 26, 2025

Details

NPI
1104788231
Entity type
Individual (NPI-1)
Name
John L Lane Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 26, 2025
Certification date
Nov 26, 2025
Last updated
Nov 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

11 Graham Dr
Athens, OH 45701-1430

Phone 800-321-8293

Mailing address

Po Box 132
Athens, OH 45701-0132

Phone 800-321-8293

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