Stephanie Lane

NPI #1770245557 in Meridianville, Alabama

Provider Information

NPI Number: 1770245557
Entity Type: Individual
Name: Stephanie Lane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Enumeration Date: Oct 9, 2021
Last Updated: Oct 9, 2021

Practice Location

Address: 142 SHACKLEFORD RD
City: Meridianville
State: Alabama
ZIP Code: 35759-1623
Phone: (256) 679-3692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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