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Lane Wall, M.D
NPI 1811989676 · on the registry since 2005
Practice
- Address
- Bldg 813 Room 104
Fort Carson, CO 80913 - Phone
- (719) 524-7350
Registry record
- Primary taxonomy
- 2083X0100X
2083X0100X
- Also registered as
- 2083A0100X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-20
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 Colorado