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NPI Code Detail

MEDICARE: DR. RASHON LANE PHD

MEDICARE:  DR. RASHON  LANE  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
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General Provider Information

NPI Number : 1316717416
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RASHON LANE PHD
Provider Business Mailing Address
First Line : 3004 KEITH DR
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-2333
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3004 KEITH DR
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-2333
Country : US
Telephone Number : 510-730-2112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2024
Last Update Date : 01/09/2024

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Directions to “ DR. RASHON LANE PHD” Practice Location

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