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Individual

CRAIG LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
76 VETERANS AVE, BATH, NY 14810-0810
(607) 664-4000
Mailing address
5590 CRYSTAL SPRINGS RD, DUNDEE, NY 14837-9426
(607) 483-4788

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
637559-01
NY

Other

Enumeration date
01/29/2024
Last updated
01/29/2024
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