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Individual

DR. JOHN P LANE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C., F.I.A.M.A

Contact information

Practice address
4710 E FALCON DR, #116-117, MESA, AZ 85215-2500
(480) 969-8848
(480) 396-9467
Mailing address
4233 E DES MOINES ST, MESA, AZ 85205-6224
(480) 985-3827
(408) 396-9467

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5372
AZ

Other

Enumeration date
04/26/2006
Last updated
07/08/2007
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