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Jimmy Lane

NPI 1154647287 · on the registry since 2010

Practice

Address
1369 B George Wallace Highway
Russellville, AL 35654
Phone
(256) 332-4021
Fax
(256) 332-4026

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-04-14

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 Alabama