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Shannon Lane, ATC
NPI 1578739488 · on the registry since 2008 · sole proprietor
Practice
- Address
- 36 Crawfords Corner Rd
Holmdel High School
Holmdel, NJ 07733 - Phone
- (732) 946-1876
- Fax
- (732) 946-8641
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey