MR. Leonard Wallace Lane, MFT INTERN is a mental health counselor in Los Angeles, CA. MR. Leonard Wallace Lane, MFT INTERN NPI is 1770095879. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1926 BEVERLY BLVD
LOS ANGELES, CA
ZIP 90057-402
Phone: (213) 353-1140
Fax: (213) 353-1151
The enumeration date for this NPI number is 10/30/2017 and was last updated on 10/30/2017.