Timothy Lee Lane

NPI #1255928180 in Eaton, Ohio

Provider Information

NPI Number
1255928180
Entity Type
Individual
Name
Timothy Lee Lane
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Dec 27, 2020
Last Updated
Dec 27, 2020

Practice Location

Address
129 DEER TRAIL DR
City
Eaton
State
Ohio
ZIP Code
45320-9355
Phone
(937) 248-6203

Specialties & Taxonomy Codes

Specialty
Counselor

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