Individual
KATHERINE S LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
656 STATE ST, BANGOR, ME 04401-5609
(207) 941-4036
(207) 941-4062
Mailing address
30 TREWORGY LN, SURRY, ME 04684-3766
(207) 941-4080
(207) 941-4077
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
006910
ME
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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