Search › Missouri › 152W00000X
Renee Lane, O.D
NPI 1790039410 · on the registry since 2012 · sole proprietor
Practice
- Address
- 12862 State Route 21
De Soto, MO 63020 - Phone
- (636) 586-9745
- Fax
- (636) 586-0901
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-10
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