Search › Missouri › 207N00000X
Jordan Lane, DO
NPI 1639758006 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1100 N Kentucky Ave
West Plains, MO 65775 - Phone
- (417) 256-9111
- Organisation at this address
- Omc Breast Care
Ies Missouri Llc
Omc Fee For Service
Ies Hsp Missouri Llc
Ozarks Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 166
Additional practice sites
- 315 S Osteopathy Ave, Kirksville, MO
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-06
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 Missouri