Individual
DR. WILLIAM RUSSELL LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
509 E HIGHWAY 33, PERKINS, OK 74059-4129
(405) 547-2473
(405) 547-2925
Mailing address
PO BOX 460, PERKINS, OK 74059-0460
(405) 547-2473
(405) 547-2925
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3885
OK
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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