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Individual
GREGORY LINDSEY LANE
Active
Individual
GREGORY LINDSEY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02348
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0182790
—
IA
01
—
44396
BLUE CROSS OF IOWA
IA
01
—
8B773LA
BLUE CROSS OF MINNESOTA
MN
Enumeration date
08/09/2005
Last updated
04/04/2018
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