Individual
LANE S. BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1265 S MAIN ST, LAS CRUCES, NM 88005-3122
(505) 524-4494
(505) 523-2526
Mailing address
1265 S MAIN ST, LAS CRUCES, NM 88005-3122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
972
NM
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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