Individual
ROGER LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 HIGHWAY 127 N, OWENTON, KY 40359-9302
(502) 484-5721
Mailing address
905 HIGHWAY 127 N, OWENTON, KY 40359-9302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007226
KY
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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