Lane, Marina

Lane, Marina is an individual health care provider with primary practice located at 2500 Watson Blvd , Endicott NY 13760-3236. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Lactation Consultant, Non-RN, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Lane, Marina can be contacted via phone (607) 210-5154.

Contact Information

Primary practice address
2500 Watson Blvd Endicott NY 13760-3236
Phone: (607) 210-5154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 009597 New York
Other Service Providers / Lactation Consultant, Non-RN 174N00000X 282242
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 009597 New York

Profile Details

NPI number 1972093888
LBN Legal business name Lane, Marina
Credentials MS RD CLC CLT
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2018
Last updated Jun 11th, 2019 - about 5 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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