Individual
MR. ROGER S LANE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
282 MAIN STREET EXT, MIDDLETOWN, CT 06457-4467
(860) 346-8000
(860) 347-4215
Mailing address
282 MAIN STREET EXT, MIDDLETOWN, CT 06457-4467
(860) 346-8000
(860) 347-4215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000715
CT
Other
Enumeration date
09/14/2005
Last updated
07/08/2007
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