Mrs. Tijuana Theresa Lane
Mrs. Tijuana Theresa Lane is a Prosthetic/Orthotic Supplier in Palmyra, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
535 Cinnaminson AvePalmyra, NJ 08065-1610
Phone: (856) 287-3578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence ZVAVGK6TPE (NJ) |
|---|---|
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X (NJ) |
Record details
| NPI number | 1457131955 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 2, 2023 |
| Last updated in NPPES | August 21, 2024 |
| Certification date | August 21, 2024 |