Lane, Nicolas

Lane, Nicolas is an sole proprietor health care provider with primary practice located at 742 Bonnie Claire Dr , Walnut CA 91789-4185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Lane, Nicolas can be contacted via phone (909) 554-0335.

Contact Information

Primary practice address
742 Bonnie Claire Dr Walnut CA 91789-4185
Phone: (909) 554-0335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 2081S0010X California

Profile Details

NPI number 1326532417
LBN Legal business name Lane, Nicolas
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2018
Last updated May 20th, 2024 - about last year

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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