| NPI Details | |
|---|---|
| NPI | 1780886093 |
| Gender | Female |
| Enumeration Date | 05/31/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 17 MANOR LN STONY BROOK NY, 11790-2817, US |
|
| Phone | (631) 751-4266 |
| Fax | |
| Business Location | |
|---|---|
| 17 MANOR LN STONY BROOK NY, 11790-2817, US |
|
| Phone | (631) 751-4266 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225X00000X |
| License State | New York |
| License Number | 8995-1 |
| Remove 1780886093 NPI Number | |
According to our database, Kimberly Joan Lane NPI is 1780886093, taxonomy code is 225X00000X and license number is 8995-1, license state is located at New York. Kimberly Joan Lane physically located at 17 Manor Ln, Stony Brook NY, 11790-2817. NPI Number Kimberly Joan Lane has the Individual type.
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1780886093 NPI number is provided on an as is basis without warranty of any kind. 1780886093 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Joan Lane are for informational purposes only.
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