Individual
DR. JENNIFER C LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3500
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036-138341
IL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
036-138341
IL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
5101018351
MI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
75447
MN
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
81318-21
WI
Other
Enumeration date
07/27/2010
Last updated
01/25/2024
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