Comprehensive Orthopedics, P. C.

NPI #1902040124 in Peoria, Illinois

Provider Information

NPI Number: 1902040124
Entity Type: Organization
Organization Name: Comprehensive Orthopedics, P. C.
Primary Specialty: Specialist
Enumeration Date: May 1, 2009
Last Updated: Mar 18, 2010

Practice Location

Address: 5401 NORTH KNOXVILLE AVE
Address 2: SUITE 400
City: Peoria
State: Illinois
ZIP Code: 61614-5021
Phone: (309) 692-6644

Authorized Official

Name: DR. GEORGE W. LANE SR., M.D.
Title: PRESIDENT
Phone: (309) 692-6644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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