Individual
LANE SCOTT LINDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1711 S STEPHENSON AVE STE 100, IRON MOUNTAIN, MI 49801-3648
(906) 776-5250
(906) 228-0217
Mailing address
1509 S GRANT ST, IRON MOUNTAIN, MI 49801-2119
(906) 282-3413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007760
MI
Other
Enumeration date
05/24/2016
Last updated
07/17/2019
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