Individual
KATHRYN L LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2904 WESTCORP BLVD SW, SUITE 107/108, HUNTSVILLE, AL 35805-6437
(256) 533-1480
(256) 536-4158
Mailing address
2904 WESTCORP BLVD SW, SUITE 108, HUNTSVILLE, AL 35805-6437
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19834
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000033720
—
AL
01
—
051033720
BCBS
AL
Enumeration date
06/09/2005
Last updated
07/18/2008
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