Individual
DR. ASHLEY MICHELE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1195 N OAKLAND AVE, BOLIVAR, MO 65613-8095
(417) 777-8131
(417) 777-8892
Mailing address
1195 N OAKLAND AVE, BOLIVAR, MO 65613-8095
(417) 777-8131
(417) 777-8892
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101019403
MI
Other
Enumeration date
07/20/2011
Last updated
09/11/2015
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