JOHN SHACKELFORD LANE

SAN DIEGO, CA
NPI1043390172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: CA  000000G81602)
Enumeration Date2006-10-16
Last Update Date2013-04-04
Business Address
Dr. JOHN SHACKELFORD LANE MD
200 W ARBOR DR MAILCODE 7403
SAN DIEGO, CA 92103-9000
Phone number: 858-657-7404
Mailing Address
Dr. JOHN SHACKELFORD LANE MD
200 WEST ARBOR DRIVE MAILCODE 7403
SAN DIEGO, CA 92103-7403
Phone number: 858-657-7404
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