Lane Simons
Lane Simons is a Student in an Organized Health Care Education/Training Program in Ione, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
4001 State Highway 104Ione, CA 95640
Phone: (530) 312-2014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 107198 (CA) |
|---|
Record details
| NPI number | 1265176622 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 22, 2022 |
| Last updated in NPPES | April 22, 2022 |
| Certification date | April 7, 2022 |
| Mailing address | 9114 Vista Dome Ct, Fair Oaks, CA 95628-4185 |
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MS. Shevalier Swanson
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Amanda N Wood
4001 Hwy 104, Ione, CA 95640 · (209) 274-4911