Shannon R Lane, ATC
Specialist/Technologist, Athletic Trainer in Holmdel, New Jersey
1578739488- Practice location
- 36 Crawfords Corner RD, Holmdel High School, Holmdel, NJ 07733-1908
- Phone
- 732-946-1876
- Fax
- 732-946-8641
- Last updated
- May 1, 2008
Shannon R Lane is a Specialist/Technologist, Athletic Trainer based in Holmdel, NJ. Shannon R Lane practices in Holmdel, NJ and has the professional credentials of ATC. The NPI Number for Shannon R Lane is 1578739488 and holds a License No. 25mt00137600 (NJ). The current practice location address for Shannon R Lane is 36 Crawfords Corner RD, Holmdel High School, Holmdel, NJ 07733-1908 and can be reached out via phone at 732-946-1876 and via fax at 732-946-8641.
Provider Profile Details
- NPI Number
- 1578739488
- Provider Name
- Shannon R Lane
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 36 Crawfords Corner RD, Holmdel High School, Holmdel, NJ 07733-1908
- Phone Number
- 732-946-1876
- Fax Number
- 732-946-8641
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 1, 2008
- Last Update Date
- May 1, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 36 Crawfords Corner RD
Holmdel High School
Holmdel, NJ 07733-1908 - City
- Holmdel
- State
- New Jersey
- Zip
- 07733-1908
- Phone Number
- 732-946-1876
- Fax Number
- 732-946-8641
Provider Business Mailing Address Details
- Address
- 36 Crawfords Corner RD
Holmdel High School
Holmdel, NJ 07733-1908 - City
- Holmdel
- State
- NJ
- Zip
- 07733-1908
- Phone Number
- 732-946-1876
- Fax Number
- 732-946-8641
License Information
- License Number
- 25mt00137600
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near Holmdel, NJ
View all Specialist/Technologist, Athletic Trainers in Holmdel →- Alexandra J AliSpecialist/Technologist, Athletic Trainer · NPI 1396370516
- Cheyenne BennettSpecialist/Technologist, Athletic Trainer · NPI 1174277826
- Douglas E StringhamSpecialist/Technologist, Athletic Trainer · NPI 1811522527
- Kathleen Knauf, ATCSpecialist/Technologist, Athletic Trainer · NPI 1851927628
- Mario VenezioSpecialist/Technologist, Athletic Trainer · NPI 1790399228
- Mrs. Ruthann W Rutledge, ATCSpecialist/Technologist, Athletic Trainer · NPI 1356591416
Frequently Asked Questions
What is the NPI number of Shannon R Lane, ATC?
The NPI number of Shannon R Lane, ATC is 1578739488. It was assigned on May 1, 2008 and is currently active in the NPPES registry.
What is the specialty of Shannon R Lane, ATC?
Shannon R Lane, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25mt00137600.
Where does Shannon R Lane, ATC practice?
The practice location is 36 Crawfords Corner RD, Holmdel High School, Holmdel, NJ 07733-1908. The office can be reached at 732-946-1876 (phone) or 732-946-8641 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578739488 directly on the NPPES registry website.