Healthcare Provider Details

I. General information

NPI: 1497815229
Provider Name (Legal Business Name): JANET LEA LANEY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 06/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6170 THORNTON AVE STE H
NEWARK CA
94560-3700
US

IV. Provider business mailing address

6170 THORNTON AVE STE H
NEWARK CA
94560-3700
US

V. Phone/Fax

Practice location:
  • Phone: 510-792-9000
  • Fax: 510-792-1593
Mailing address:
  • Phone: 510-792-9000
  • Fax: 510-792-1593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 23293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: