MRS. Tijuana Theresa Lane
NPI #1457131955 in Palmyra, New Jersey
Provider Information
- NPI Number
- 1457131955
- Entity Type
- Individual
- Name
- MRS. Tijuana Theresa Lane
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Oct 2, 2023
- Last Updated
- Aug 21, 2024
Practice Location
- Address
- 535 CINNAMINSON AVE
- City
- Palmyra
- State
- New Jersey
- ZIP Code
- 08065-1610
- Phone
- (856) 287-3578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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