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Individual

CONOR MICHAEL LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MB BCH BAO

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
PO BOX 860912, PROVIDER ENROLLMENT - MCHS WI, MINNEAPOLIS, MN 55486-0912
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29173
MN
207R00000X
Internal Medicine Physician
66433
MN
207RC0000X
Cardiovascular Disease Physician
66433
MN
207RI0011X
Interventional Cardiology Physician
Primary
66433
MN
207RI0011X
Interventional Cardiology Physician
84201
WI

Other

Enumeration date
12/08/2017
Last updated
11/21/2025
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