Mr. Jordan Tanner Lane
Mr. Jordan Tanner Lane is a Peer Specialist in Yukon, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
9217 NW 71st StYukon, OK 73099-7445
Phone: (405) 651-8162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1891493060 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 17, 2023 |
| Last updated in NPPES | February 17, 2023 |
| Certification date | February 17, 2023 |
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