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Individual

LANE K KIMBROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LO

Contact information

Practice address
2525 W. BELLFORT, SUITE 150, HOUSTON, TX 77054
(713) 349-9335
(713) 349-8433
Mailing address
7401 S. MAIN, HOUSTON, TX 77030
(713) 799-2300
(713) 794-3395

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
433
TX

Other

Enumeration date
10/16/2008
Last updated
10/16/2008
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