Individual
ALEXANDER GENE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 GWEE SHUT RD, SILETZ, OR 97380-2036
(541) 270-8830
Mailing address
200 GWEE SHUT RD, SILETZ, OR 97380-2036
(541) 270-8830
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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