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1962862318
LANE K DEDRICK
WEST COVINA, CA
NPI
1962862318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A17592)
Enumeration Date
2016-02-27
Last Update Date
2024-09-20
Business Address
DR. LANE K DEDRICK DO
1300 S SUNSET AVE
WEST COVINA, CA 91790-3342
Phone number: 888-499-9303
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Mailing Address
DR. LANE K DEDRICK DO
3770 SAN ANTONIO RD
YORBA LINDA, CA 92886-6973
Phone number: 714-851-2220
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