| Doctor Name: | MARCELLA MARIE LANE |
| NPI Number: | 1447406319 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 17625 Reed St Melvindale, MI - 481221142 |
| Business Phone Number: | 3132829151 |
| Business Fax Number: | 3134293550 |
| Mailing Address: | Po Box 3126, MELVINDALE |
| State: | MI |
| Postal Code: | 481220126 |
| Phone Number: | 3134655173 |
| Fax Number: | 3134293550 |
| NPI Enumeration Date: | 08/12/2008 |
| NPI Last Update Date: | 08/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |