Robert A. Lane, CCP
Spec/Tech, Cardiovascular in Glendale, CA. Individual provider (NPI-1).
NPI number1427178946
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1427178946
- Entity type
- Individual (NPI-1)
- Name
- Robert A. Lane
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246X00000X | Spec/Tech, Cardiovascular | – | – | Yes |
Practice location
123 N Jackson StApt D.
Glendale, CA 91206-4327
Phone 818-243-7657
Mailing address
123 N Jackson StApt D.
Glendale, CA 91206-4327
Phone 818-243-7657
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