Individual
PASCALE H LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4409
(405) 271-3986
Mailing address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4409
(405) 271-3986
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
20706
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557563
—
NE
Enumeration date
05/31/2006
Last updated
07/26/2012
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