Individual
MICHAEL A LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 BRIDGE ST, SUITE 230, DEDHAM, MA 02026-1759
(781) 326-4654
Mailing address
64 W CENTRAL ST, NATICK, MA 01760-4447
(978) 257-6902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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