ALEXIS GRACE LANE

APTOS, CA
NPI1700856085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Y00000X Otolaryngology
(Licence: CA  G81601)
Enumeration Date2006-01-26
Last Update Date2009-02-26
Business Address
-- ALEXIS GRACE LANE MD FACS
8055 VALENCIA ST
APTOS, CA 95003-3954
Phone number: 831-688-8333
Mailing Address
-- ALEXIS GRACE LANE MD FACS
8055 VALENCIA ST
APTOS, CA 95003-3954
Phone number: 831-688-8333
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