Provider Demographics
NPI:1972640035
Name:LANE, ROCHELLE HOCHHAUSER (LAC,OMD)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:HOCHHAUSER
Last Name:LANE
Suffix:
Gender:F
Credentials:LAC,OMD
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:H
Other - Last Name:LANE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC, OMD
Mailing Address - Street 1:PO BOX 524
Mailing Address - Street 2:
Mailing Address - City:LA HONDA
Mailing Address - State:CA
Mailing Address - Zip Code:94020-0524
Mailing Address - Country:US
Mailing Address - Phone:805-245-0577
Mailing Address - Fax:650-328-0827
Practice Address - Street 1:2100 CARLMONT DR STE 3
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-3465
Practice Address - Country:US
Practice Address - Phone:650-622-9050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2323171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist