Individual
KATHRYN LYNN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 N PORTLAND AVE STE 600, OKLAHOMA CITY, OK 73112-2121
(405) 713-9940
(405) 713-9941
Mailing address
3007 LADYBANK LN, NORMAN, OK 73072-1955
(405) 713-9940
(405) 713-9941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3100
OK
Other
Enumeration date
11/11/2019
Last updated
06/29/2021
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