Individual
DR. DUSTIN C LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 469-4359
Mailing address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 469-4359
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22593
IA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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