DR. Brandon Lane, D.O.

NPI #1508078932 in Sand Springs, Oklahoma

Provider Information

NPI Number: 1508078932
Entity Type: Individual
Name: DR. Brandon Lane, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: May 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5045 N DELMAR DR
City: Sand Springs
State: Oklahoma
ZIP Code: 74063-5409
Phone: (918) 242-3903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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