Jamie Kaleb Lane

NPI #1780661439 in Boston, Massachusetts

Provider Information

NPI Number
1780661439
Entity Type
Individual
Name
Jamie Kaleb Lane
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Dec 23, 2005
Last Updated
Jun 6, 2016

Practice Location

Address
427 COMMERCIAL ST
City
Boston
ZIP Code
02109-1027
Phone
(617) 223-5821

Specialties & Taxonomy Codes

Specialty
Technician, Other

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