Kirk Lane M.D.

NPI 1003840372 - Family Medicine - 207Q00000X

NPI Details
NPI 1003840372
Gender Male
Enumeration Date 07/10/2006
Last Updated 12/07/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
610 W ADAMS ST
BLACK RIVER FALLS WI, 54615-9010, US
Phone (715) 284-4311
Fax (715) 284-2568
Business Location
610 W ADAMS ST
BLACK RIVER FALLS WI, 54615-9010, US
Phone (715) 284-4311
Fax (715) 284-2568
Toxanomy
Taxonomy Code 207Q00000X
License State Wisconsin
License Number 43326
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According to our database, Kirk Lane M.D. NPI is 1003840372, taxonomy code is 207Q00000X and license number is 43326, license state is located at Wisconsin. Kirk Lane M.D. physically located at 610 W Adams St, Black River Falls WI, 54615-9010. NPI Number Kirk Lane M.D. has the Individual type.

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1003840372 NPI number is provided on an as is basis without warranty of any kind. 1003840372 is maintained by the National Plan & Provider Enumeration System. The contents of Kirk Lane M.D. are for informational purposes only.