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Individual

DANE MICHAEL LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
RR1, LINTON, IN 47441
(812) 847-2281
Mailing address
RR1 BOX 1000, LINTON, IN 47441
(812) 847-2281

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28135865A
IN

Other

Enumeration date
07/30/2007
Last updated
07/30/2007
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