Individual
MELISSA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
20375 W 151ST ST, STE 105, OLATHE, KS 66061-5306
(913) 782-8487
(913) 782-4634
Mailing address
20375 W 151ST ST, STE 105, OLATHE, KS 66061-5306
(913) 782-8487
(913) 782-4634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-35938
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200966790C
—
KS
Enumeration date
07/09/2009
Last updated
08/05/2014
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