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Jaimie Lane, MS
Specialist in Selden, New York
NPI 1730614207

Jaimie Lane is a Specialist based in Selden, NY. Jaimie Lane practices in Selden, NY and has the professional credentials of MS. The NPI Number for Jaimie Lane is 1730614207 and holds a License No. (New York).

The current practice location address for Jaimie Lane is 51 King Ave, Selden, NY and can be reached out via phone at 631-553-0667.

Location: 51 King Ave, Selden, NY, 11784-2343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730614207
Provider Name
Jaimie Lane
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
51 King Ave, Selden, NY, 11784-2343
Phone Number
631-553-0667
Fax Number
Provider Enumeration Date
04/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
51 King Ave
City
Selden
State
New York
Zip
11784-2343
Phone Number
631-553-0667
Fax Number
person
Provider Business Mailing Address Details
Address
51 King Ave
City
Selden
State
New York
Zip
11784-2343
Phone Number
631-553-0667
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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