Individual
MR. JOHN ROBERT LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
727 RAY RD, FORT RILEY, KS 66442-4481
(913) 787-6185
Mailing address
727 RAY RD, FORT RILEY, KS 66442-4481
(913) 787-6185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05970
KS
Other
Enumeration date
01/08/2006
Last updated
08/15/2024
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