John David Lane, M.D.

NPI #1962486498 in Bayside, Wisconsin

Provider Information

NPI Number
1962486498
Entity Type
Individual
Name
John David Lane, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Radiology - Vascular & Interventional Radiology
Credential
M.D.
Enumeration Date
Nov 29, 2005
Last Updated
May 29, 2014

Practice Location

Address
500 W BROWN DEER RD
Address 2
SUITE 202
ZIP Code
53217-1618
Phone
(414) 434-0461

Specialties & Taxonomy Codes

Specialty
Radiology - Vascular & Interventional RadiologyVascular & Interventional Radiology

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