Mckenna Lee Lane, HSW

NPI #1093980062 in Provo, Utah

Provider Information

NPI Number: 1093980062
Entity Type: Individual
Name: Mckenna Lee Lane, HSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: HSW
Enumeration Date: Apr 29, 2008
Last Updated: Apr 29, 2008

Practice Location

Address: 750 N 200 W
City: Provo
State: Utah
ZIP Code: 84601-1677
Phone: (801) 373-4760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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