Individual
MELISSA M LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
616 N HOUSTON ST, ADRIAN, MO 64720-8319
(660) 464-0884
Mailing address
616 N HOUSTON ST, ADRIAN, MO 64720-8319
(660) 464-0884
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
17871
MO
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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