Jacob Lane, DC

NPI #1487492591 in North Salt Lake, Utah

Provider Information

NPI Number: 1487492591
Entity Type: Individual
Name: Jacob Lane, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jul 15, 2024
Last Updated: Jul 15, 2024

Practice Location

Address: 940 N 400 E STE 204
City: North Salt Lake
State: Utah
ZIP Code: 84054-1985
Phone: (903) 922-9156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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