Individual
MR. LANE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, MMP
Contact information
Practice address
4800 SHERBURN LN, SUITE C, LOUISVILLE, KY 40207-4197
(502) 994-9096
Mailing address
2301 HURSTBOURNE VILLAGE DR STE 700, LOUISVILLE, KY 40299-1849
(502) 994-9096
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3881
KY
Other
Enumeration date
01/12/2011
Last updated
06/06/2021
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