JACK LANE

LEMOORE, CA
NPI1528037793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A6726)
Enumeration Date2006-03-17
Last Update Date2007-07-08
Business Address
-- JACK LANE DO
937 FRANKLIN AVE
LEMOORE, CA 93246-0001
Phone number: 559-998-4262
Mailing Address
-- JACK LANE DO
1262 WHEELER CT
TULARE, CA 93274-0962
Phone number:
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