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Contact Information

MARINA LANE, MS RD CLC
30 N GOULD ST STE N
SHERIDAN, WY82801-6317
 Phone: 720-680-2940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Lactation Consultant, Non-RN

174N00000X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for MARINA LANE · (Female)

NPI # 1972093888
Status Active
Credentials MS RD CLC
Entity Individual
Enumeration date 05/16/2018
Last updated 08/22/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • License # 282242
  • NY License # 009597
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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