Della J Lane

NPI #1376725440 in Dewey, Arizona

Provider Information

NPI Number: 1376725440
Entity Type: Individual
Name: Della J Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 30, 2007
Last Updated: Nov 30, 2007

Practice Location

Address: 1140 N UPPER GOLD RD
City: Dewey
State: Arizona
ZIP Code: 86327-7392
Phone: (928) 308-0383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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