Individual
MR. JEFFREY L LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
9511 ANGOLA CT, INDIANAPOLIS, IN 46268-1119
(317) 874-0702
Mailing address
207 HAMILTON ST, CRAWFORDSVILLE, IN 47933-1916
(765) 361-8959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28160209A
IN
Other
Enumeration date
12/29/2008
Last updated
05/06/2013
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