Individual
RONI DEANN LANE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 587-7450
(801) 587-7455
Mailing address
6307 W GRACELAND WAY, WEST JORDAN, UT 84084-8182
(801) 870-7772
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
5612483-1205
UT
Other
Enumeration date
03/26/2007
Last updated
11/17/2021
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