NPI 1003154113
Terry Alan Lane, LCSW
Practice location
- Address
- 700 1st Ave, Sulphur, LA 70663-3423
- Phone
- (337) 528-6969
- Fax
- (337) 528-6970
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1003154113
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jan 2013
- Record last updated
- 24 Jan 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.