LANE BRAVER

WEST COVINA, CA
NPI1144268343
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  PA11948)
Enumeration Date2006-06-02
Last Update Date2007-07-08
Business Address
-- LANE BRAVER PA
1115 S SUNSET AVE
WEST COVINA, CA 91790-3940
Phone number: 626-814-2434
Mailing Address
-- LANE BRAVER PA
678 SILVER VALLEY TRL
WALNUT, CA 91789-2085
Phone number: 909-594-4533
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