Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLAS LANE, ATC
Active Sole ProprietorNICOLAS LANE, ATC is a Sports Medicine (PM&R) healthcare provider located in WALNUT, California. NPI 1326532417 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · WALNUT, CA
Registration Details
- NPI Number
- 1326532417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2018 (8.1943541902919 yrs)
- Last Updated
- May 20, 2024
- License
-
2081S0010X (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
742 BONNIE CLAIRE DRWALNUT, CA, 917894185Browse CA providers · Browse ZIP 91789
- Phone
- 9095540335
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.