Individual
MR. LANE WILLIAM JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
6501 E COMMERCE AVE STE 140, KANSAS CITY, MO 64120-2194
(816) 281-1218
Mailing address
6501 E COMMERCE AVE STE 140, KANSAS CITY, MO 64120-2194
(816) 281-1218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2020043174
MO
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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