Individual
DR. JENNIFER CASEY LAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 578-5061
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 578-5061
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
53931
MN
Other
Enumeration date
06/19/2007
Last updated
11/21/2012
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