Individual
DR. KATHRYN LEE SEROWKA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1248
(217) 366-6100
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1248
(217) 366-6100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036154202
IL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036154202
IL
Other
Enumeration date
09/20/2010
Last updated
03/31/2022
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