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Kimberly Lane
NPI 1780886093 · on the registry since 2007 · sole proprietor
Practice
- Address
- 17 Manor Ln
Stony Brook, NY 11790 - Phone
- (631) 751-4266
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- 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 New York