Lane, Mark Richard

Lane, Mark Richard is an individual health care provider with primary practice located at 4201 Patterson Ave , Richmond VA 23221. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Lane, Mark Richard can be contacted via phone (877) 572-3371.

Contact Information

Primary practice address
4201 Patterson Ave Richmond VA 23221
Phone: (877) 572-3371
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 0701002355 Virginia

Profile Details

NPI number 1164518882
LBN Legal business name Lane, Mark Richard
Credentials DMIN LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 24th, 2007 - about 18 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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