Search › Michigan › 207PE0004X
Justin Lane
NPI 1003622234 · on the registry since 2024
Practice
- Address
- 304 Woodlake Ln # 304
Pontiac, MI 48340 - Phone
- (313) 574-8845
Registry record
- Primary taxonomy
- 207PE0004X
207PE0004X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan