Individual
JONATHAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 669-2500
(620) 694-2130
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-28338
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100344920 A
—
KS
Enumeration date
01/30/2006
Last updated
09/21/2023
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