Individual provider · Type 1 NPI

Lane Simons

Student in an Organized Health Care Education/Training Program · Ione, CA

NPI number 1265176622 Active

Practice location

4001 State Highway 104
Ione, CA 95640

Mailing address

9114 Vista Dome Ct
Fair Oaks, CA 95628-4185

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X107198 (CA)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1265176622

Lane Simons's National Provider Identifier is 1265176622, issued on Apr 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ione, CA. The record was last updated on Apr 22, 2022.