Jared Lane, DC

NPI #1487250379 in Edmond, Oklahoma

Provider Information

NPI Number: 1487250379
Entity Type: Individual
Name: Jared Lane, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Dec 7, 2020
Last Updated: Dec 7, 2020

Practice Location

Address: 3409 S BROADWAY STE 801
City: Edmond
State: Oklahoma
ZIP Code: 73013-4129
Phone: (405) 515-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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