Individual
DR. MICHAEL LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
375 NE FRANKLIN AVE, BEND, OR 97701-4917
(415) 298-1053
Mailing address
919 NW CARLON AVE APT 2, BEND, OR 97703-2670
(415) 298-1053
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
32295
CA
111N00000X
Chiropractor
Primary
5987
OR
Other
Enumeration date
05/23/2012
Last updated
05/20/2019
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