Individual
DR. KACY RENEE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3496
Mailing address
86-260 FARRINGTON HIGHWAY, WAIANAE, HI 96792-4362
(808) 697-3496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
64167
CA
122300000X
Dentist
Primary
DTT 285
HI
Other
Enumeration date
04/01/2013
Last updated
01/27/2017
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