Nicolas Lane, ATC
NPI #1326532417 in Walnut, California
Provider Information
- NPI Number
- 1326532417
- Entity Type
- Individual
- Name
- Nicolas Lane, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Medicine & Rehabilitation - Sports Medicine
- Credential
- ATC
- Enumeration Date
- Jun 21, 2018
- Last Updated
- May 20, 2024
Practice Location
- Address
- 742 BONNIE CLAIRE DR
- City
- Walnut
- State
- California
- ZIP Code
- 91789-4185
- Phone
- (909) 554-0335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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