NPI Details | |
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NPI | 1780886093 |
Gender | Female |
Enumeration Date | 05/31/2007 |
Last Updated | 07/08/2007 |
Entity Type | Individual |
Active | Over 10 years ago |
Practice Location | |
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17 MANOR LN STONY BROOK NY, 11790-2817, US |
|
Phone | (631) 751-4266 |
Fax |
Business Location | |
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17 MANOR LN STONY BROOK NY, 11790-2817, US |
|
Phone | (631) 751-4266 |
Fax |
Toxanomy | |
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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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