Individual
ALBERT LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1115 N. BELT HIGHWAY, ST. JOSEPH, MO 64506-2410
(816) 271-7077
(816) 271-0421
Mailing address
1115 N. BELT HIGHWAY, ST. JOSEPH, MO 64506-2410
(816) 271-7077
(816) 271-0421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RIF70
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619939774
—
MO
05
—
200743250A
—
KS
Enumeration date
04/04/2006
Last updated
11/16/2012
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