Angela Michele Lane

NPI #1124702733 in Sturgis, South Dakota

Provider Information

NPI Number: 1124702733
Entity Type: Individual
Name: Angela Michele Lane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jun 14, 2023
Last Updated: Jun 14, 2023

Practice Location

Address: 1113 SHERMAN ST
City: Sturgis
State: South Dakota
ZIP Code: 57785-1503
Phone: (605) 490-9606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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