Braver, Lane

Braver, Lane is an sole proprietor health care provider with primary practice located at 1115 S Sunset Ave , West Covina CA 91790-3940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Braver, Lane can be contacted via phone (626) 814-2434.

Contact Information

Primary practice address
1115 S Sunset Ave West Covina CA 91790-3940
Phone: (626) 814-2434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA11948 California

Profile Details

NPI number 1144268343
LBN Legal business name Braver, Lane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144268343 NPPES
California MEDICAID PA11948

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