Individual
ABBY M LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2005 N. MISSOURI ST., SUITE D, MACON, MO 63552-0387
(660) 385-6540
(660) 385-6542
Mailing address
30251 LAUREL PL, MACON, MO 63552-3802
(660) 385-1374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
112589
MO
Other
Enumeration date
03/21/2007
Last updated
07/24/2009
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