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LARRY H. LANE D.O.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1396715751
Individual Registrant: LARRY H. LANE D.O.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
403 REDBUD LN CHELSEA, OK 74016-1453 US
Tel: 918-789-3146 Fax: 918-789-5650
Tel: 918-789-3146 Fax: 918-789-5650
Contact information for business:
PO BOX 218 CHELSEA, OK 74016-0218 US
Tel: 918-789-3146 Fax: --
Tel: 918-789-3146 Fax: --
Registration Information:
NPI: 1396715751
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | OK | 1900 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
