Individual
DR. ALLISON LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1429 CHESTER BLVD, SUITE A, RICHMOND, IN 47374-1919
(765) 966-3736
Mailing address
1429 CHESTER BLVD, SUITE A, RICHMOND, IN 47374-1919
(765) 966-3736
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012515A
IN
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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