Karl Lane, ATC
NPI #1063163202 in Saint John, Indiana
Provider Information
- NPI Number
- 1063163202
- Entity Type
- Individual
- Name
- Karl Lane, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jan 10, 2022
- Last Updated
- Jan 10, 2022
Practice Location
- Address
- 8259 WICKER AVE
- City
- Saint John
- State
- Indiana
- ZIP Code
- 46373-8878
- Phone
- (219) 365-6554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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