Lane, Candace

Lane, Candace is an individual health care provider with primary practice located at 1014 Forsyth St , Macon GA 31201-2051. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Lane, Candace can be contacted via phone (478) 633-6748.

Contact Information

Primary practice address
1014 Forsyth St Macon GA 31201-2051
Phone: (478) 633-6748
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT005726 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT005726 Georgia

Profile Details

NPI number 1467843854
LBN Legal business name Lane, Candace
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2015
Last updated Feb 7th, 2015 - about 11 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 1467843854 NPPES
Georgia Other OT005726 GA LICENSE

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