Lane, Jennifer
Lane, Jennifer is an sole proprietor health care provider with primary practice located at 207 S Mcdowell Blvd # 1063 , Petaluma CA 94954-3505. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Lane, Jennifer can be contacted via phone (707) 338-2474.Contact Information
Primary practice address
207 S Mcdowell Blvd # 1063
Petaluma CA 94954-3505
Phone: (707) 338-2474
Fax: (707) 221-1688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 984565 | California |
Profile Details
| NPI number | 1124792957 |
|---|---|
| LBN Legal business name | Lane, Jennifer |
| Credentials | MS, RDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2021 |
| Last updated | May 2nd, 2024 - about 2 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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