Individual
LARRY H. LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
403 REDBUD LN, CHELSEA, OK 74016-1453
(918) 789-3146
(918) 789-5650
Mailing address
PO BOX 218, CHELSEA, OK 74016-0218
(918) 789-3146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1900
OK
Other
Enumeration date
01/26/2006
Last updated
01/14/2015
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