Individual
JAMES WARD LANE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
208 MAIN STREET, CORNELL, WI 54732
(715) 239-3166
(715) 239-0346
Mailing address
PO BOX 521, 208 MAIN STREET, CORNELL, WI 54732
(715) 239-3166
(715) 239-0346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5002082G
WI
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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