Individual
KAREN M LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-6089
(920) 430-4585
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-6089
(920) 430-4585
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41238
WI
Other
Enumeration date
12/06/2005
Last updated
11/17/2022
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