LANE KATHRYN FISHBURN
NPI 1174111017
Student in an Organized Health Care Education/Training Program in Fullerton, CA

Active since January 06, 2021
800 N STATE COLLEGE BLVD, FULLERTON, CA 92831(657) 278-2011 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lane Kathryn Fishburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANE KATHRYN FISHBURN (NPI 1174111017) is an individual student in an organized health care education/training program in Fullerton, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1174111017
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLANE KATHRYN FISHBURN
Location Address800 N STATE COLLEGE BLVDFullerton, CA 92831-3547
Mailing Address1177 Merganser PlManteca, CA 95337-6041
Sole ProprietorNo
Enumeration DateJanuary 6, 2021
NPPES CertifiedJanuary 5, 2021
NPI 1174111017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
800 N STATE COLLEGE BLVD, Fullerton, CA 92831

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Clinic/Center (Health Service)
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Registered Nurse (College Health)
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Specialist/Technologist (Athletic Trainer)
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Student in an Organized Health Care Education/Training Program
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Specialist/Technologist (Athletic Trainer)
800 N STATE COLLEGE BLVD, ATTN: KINESIOLOGY
FULLERTON, CA 92831
Kinesiotherapist
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Nurse Practitioner (Family)
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lane Fishburn's NPI number?

The NPI number for Lane Fishburn is 1174111017. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Where is Lane Fishburn located?

Lane Fishburn practices at 800 N State College Blvd, Fullerton, CA 92831. The listed phone number is (657) 278-2011.

What is Lane Fishburn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lane Fishburn was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.