Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON R LANE, ATC
Active Sole ProprietorSHANNON R LANE, ATC is a Athletic Trainer healthcare provider located in HOLMDEL, New Jersey. NPI 1578739488 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HOLMDEL, NJ
Registration Details
- NPI Number
- 1578739488
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2008 (18.105814445569 yrs)
- Last Updated
- May 1, 2008
- License
-
25MT00137600 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
36 CRAWFORDS CORNER RDHOLMDEL HIGH SCHOOLHOLMDEL, NJ, 077331908Browse NJ providers · Browse ZIP 07733
- Phone
- 7329461876
- Fax
- 7329468641
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in HOLMDEL, NJ
| Name | Credential | NPI |
|---|---|---|
| MRS. RUTHANN WEBER RUTLEDGE | ATC | 1356591416 |
| RYAN OLIVEIRA | ATC | 1770893844 |
| NATALIE ELIZABETH PYTLOWANY | — | 1366829244 |
| DOUGLAS EDWARD STRINGHAM | — | 1811522527 |
| ALEXANDRA JULIA ALI | — | 1396370516 |
| KATHLEEN KNAUF | ATC | 1851927628 |
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.