Paul Vincent Lane, P.T.

NPI #1841316296 in Macon, Missouri

Provider Information

NPI Number: 1841316296
Entity Type: Individual
Name: Paul Vincent Lane, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Mar 21, 2007
Last Updated: Jul 17, 2009

Practice Location

Address: 2005 N. MISSOURI ST.
Address 2: SUITE D
City: Macon
State: Missouri
ZIP Code: 63552-0381
Phone: (660) 385-6540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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