Justin Lane
Justin Lane is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
1430 John Wesley Gilbert DrAugusta, GA 30912-0001
Phone: (706) 721-2371
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence DN123796 (GA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1346037199 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2025 |
| Last updated in NPPES | July 9, 2025 |
| Certification date | July 9, 2025 |
| Mailing address | 2432 Cumming Rd, Augusta, GA 30904-6110 |
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Seth Alan Larsen
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