Lane Thomas Olds

NPI #1689318594 in Fruitport, Michigan

Provider Information

NPI Number: 1689318594
Entity Type: Individual
Name: Lane Thomas Olds
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Apr 26, 2022
Last Updated: Apr 26, 2022

Practice Location

Address: 3443 FARR RD
City: Fruitport
State: Michigan
ZIP Code: 49415-8779
Phone: (231) 672-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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