Individual
CODY H LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 KENTON STATION DR, MAYSVILLE, KY 41056-9609
(606) 759-5337
Mailing address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3245
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
05430
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
08/02/2023
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