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LANE RAY ALEXANDER
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1598247272
Individual Registrant: LANE RAY ALEXANDER
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
100 E UNIVERSITY MAGNOLIA, AR 71753-2181 US
Tel: 870-235-4000 Fax: --
Tel: 870-235-4000 Fax: --
Contact information for business:
100 E UNIVERSITY MAGNOLIA, AR 71753-2181 US
Tel: 870-235-4000 Fax: --
Tel: 870-235-4000 Fax: --
Registration Information:
NPI: 1598247272
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
