Individual
DR. BRIAN CHRISTOPHER LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6126 LOVERS LN, PORTAGE, MI 49002-3026
(269) 383-2444
(269) 383-2451
Mailing address
6126 LOVERS LN, PORTAGE, MI 49002-3026
(269) 383-2444
(269) 383-2451
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008096
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950C911950
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/10/2006
Last updated
10/05/2015
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