DR. Lane Lamar Wall, M.D.

NPI #1811989676 in Fort Carson, Colorado

Provider Information

NPI Number
1811989676
Entity Type
Individual
Name
DR. Lane Lamar Wall, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Preventive Medicine - Occupational Medicine
Credential
M.D.
Enumeration Date
Aug 18, 2005
Last Updated
Apr 20, 2015

Practice Location

Address
BLDG 813 ROOM 104
ZIP Code
80913
Phone
(719) 524-7350

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Aerospace MedicineAerospace Medicine
Preventive Medicine - Occupational MedicineOccupational Medicine

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