Individual
RICHARD LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3824 BLEAK HOUSE RD, EARLYSVILLE, VA 22936-2206
(434) 906-1982
Mailing address
PO BOX 630088, HIGHLANDS RANCH, CO 80163-0088
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101239372
VA
Other
Enumeration date
05/19/2006
Last updated
07/11/2013
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