MR. Jordan Lane is a student in an organized health care education training program in North Charleston, SC. The provider is 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. MR. Jordan Lane NPI is 1811443997. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8747 ALEXANDRIA DR
NORTH CHARLESTON, SC
ZIP 29420-815
Phone: (843) 751-7449
The enumeration date for this NPI number is 8/29/2016 and was last updated on 8/29/2016.