Organization
INDEPENDENT PROFESSIONALS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H LANE M.D. (PRESIDENT)
(952) 401-6200
Entity
Organization
Contact information
Practice address
319 BARRY AVE S, SUITE 300, WAYZATA, MN 55391-1658
(952) 473-1111
Mailing address
50 INTERLACHEN LN, EXCELSIOR, MN 55331-9469
(952) 401-6200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42949
MN
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
Update your record
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