SearchArkansas1223G0001X

Brian Lane

NPI 1710072277 · on the registry since 2006 · sole proprietor

Practice

Address
17 Eagle Park
Vilonia, AR 72173
Phone
(501) 796-3903

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Arkansas