person
Lane Donaldson
Military Health Care Provider in San Diego, California
NPI 1922459676

Lane Donaldson is a Military Health Care Provider based in San Diego, CA. Lane Donaldson practices in San Diego, CA. The NPI Number for Lane Donaldson is 1922459676 and holds a License No. (California).

The current practice location address for Lane Donaldson is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 619-532-6400.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92101-7687
person
Provider Profile Details
NPI Number
1922459676
Provider Name
Lane Donaldson
Credential
Provider Entity Type
Individual
Gender
Male
Address
34800 Bob Wilson Dr, San Diego, CA, 92101-7687
Phone Number
619-532-6400
Fax Number
Provider Enumeration Date
06/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
619-532-6400
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
619-532-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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