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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JORDAN LANE

Active Sole Proprietor

MR. JORDAN LANE is a Student (Health Education/Training) healthcare provider located in NORTH CHARLESTON, South Carolina. NPI 1811443997 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · NORTH CHARLESTON, SC

Registration Details

NPI Number
1811443997
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2016 (9.7748338752802 yrs)
Last Updated
Aug 29, 2016
Sole Proprietor
Yes

Practice Information

Address
8747 ALEXANDRIA DR
NORTH CHARLESTON, SC, 294207815
Browse SC providers · Browse ZIP 29420
Phone
8437517449
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in NORTH CHARLESTON, SC

Name Credential NPI
HANNAH ZECH 1437521242
MARY GLADDEN 1144680984
SHANICE JANAE BENNETT 1235634643
IMANI CARR 1972009926
TYSON LEE CLAIBORNE 1770116568
SARAH ELLEN WILLIAMS MD 1326625542
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.