Individual
TAWNYA R LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7603 COLLAND DR, FORT COLLINS, CO 80525-6929
(970) 461-8031
Mailing address
7603 COLLAND DR, FORT COLLINS, CO 80525-6929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2230
CO
Other
Enumeration date
09/27/2006
Last updated
04/07/2008
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