Individual
DR. KRISTIN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2717
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CDR.0002285
CO
207R00000X
Internal Medicine Physician
R1692
AZ
208M00000X
Hospitalist Physician
Primary
005821
AZ
Other
Enumeration date
06/17/2009
Last updated
06/29/2023
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