Individual
ALEXANDER CLIFFORD LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, ATC, LAT
Contact information
Practice address
700 MILLS ROAD, WEST POINT, NY 10996
(845) 938-2284
Mailing address
639 HOWARD RD, WEST POINT, NY 10996-1510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002925
NY
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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