Individual
DR. CHARLES RUSSELL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2800 FORESTWOOD DR STE 102, ARLINGTON, TX 76006-2700
(817) 649-9800
(817) 649-9803
Mailing address
2800 FORESTWOOD DR STE 102, ARLINGTON, TX 76006-2700
(817) 649-9800
(817) 649-9803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC7158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00676K
GROUP
TX
01
—
1538376322
GROUP NPI
TX
Enumeration date
08/30/2006
Last updated
12/10/2007
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