Kirt Lane, CPC

NPI #1013541341 in Longview, Washington

Provider Information

NPI Number: 1013541341
Entity Type: Individual
Name: Kirt Lane, CPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CPC
Enumeration Date: Feb 25, 2020
Last Updated: Sep 18, 2023

Practice Location

Address: 1408 12TH AVENUE
City: Longview
State: Washington
ZIP Code: 98632-3822
Phone: (360) 998-3050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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