Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon R Lane, ATC

Individual provider Athletic Trainer · NPI 1578739488

Shannon R Lane, ATC is an Athletic Trainer in Holmdel, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

36 Crawfords Corner Rd Holmdel High School
Holmdel, NJ 07733-1908
Phone: (732) 946-1876
Fax: (732) 946-8641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00137600 (NJ)

Record details

NPI number1578739488
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedMay 1, 2008
Last updated in NPPESMay 1, 2008

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