Organization
MEDICAL LANE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LANE (PRESIDENT)
(248) 797-1430
Entity
Organization
Contact information
Practice address
22612 N NOTTINGHAM DR, BEVERLY HILLS, MI 48025-3523
(248) 797-1430
Mailing address
22612 N NOTTINGHAM DR, BEVERLY HILLS, MI 48025-3523
(248) 797-1430
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
About Stedi
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