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Individual

DR. DAVID HOLT LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 INTERLACHEN LN, EXCELSIOR, MN 55331-9469
(952) 401-6200
(952) 401-6201
Mailing address
50 INTERLACHEN LN, EXCELSIOR, MN 55331-9469
(952) 401-6200
(952) 401-6201

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-093507
OH
207L00000X
Anesthesiology Physician
42949
MN
207L00000X
Anesthesiology Physician
5273
ND
207L00000X
Anesthesiology Physician
Primary
52897-20
WI

Other

Enumeration date
01/30/2009
Last updated
01/23/2011
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