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Individual

MR. LANE DEE TRUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
820 N SPRING ST., SUITE C, CALIENTE, NV 89008
(775) 726-3117
(775) 726-3118
Mailing address
PO BOX 27, CALIENTE, NV 89008-0027
(775) 726-3117
(775) 726-3118

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
7043969-2401
UT
225100000X
Physical Therapist
Primary
NV1378
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
460464353
TAX ID
NV
01
NV0646
BCBS
NV
01
P00295341
RAILROAD MEDICARE
NV
Enumeration date
07/10/2006
Last updated
02/12/2009
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