Individual
DR. ANNE ATHA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10400 W 103RD ST STE 21, OVERLAND PARK, KS 66214-2664
(913) 722-0610
(913) 722-2893
Mailing address
10400 W 103RD ST STE 21, OVERLAND PARK, KS 66214-2664
(913) 722-0610
(913) 722-2893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
69059
KS
390200000X
Student in an Organized Health Care Education/Training Program
RES.3374
OH
Other
Enumeration date
07/02/2013
Last updated
09/08/2021
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