Individual
JAMIE KALEB LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
427 COMMERCIAL ST, BOSTON, MA 02109-1027
(617) 223-5821
(617) 223-3038
Mailing address
427 COMMERCIAL ST, BOSTON, MA 02109-1027
(617) 223-5821
(617) 223-3038
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/23/2005
Last updated
06/06/2016
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