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John William Lane, DPM

Podiatrist in Maumee, OH. Individual provider (NPI-1).

NPI number1215936331
StatusActive
Last updated in NPPESFeb 12, 2010

Details

NPI
1215936331
Entity type
Individual (NPI-1)
Name
John William Lane
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Jul 20, 2005
Last updated
Feb 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist36002714LOHYes

Practice location

609 Ford St
Maumee, OH 43537-1947

Phone 419-893-5539 · Fax 419-893-6853

Mailing address

609 Ford St
Maumee, OH 43537-1947

Phone 419-893-5539 · Fax 419-893-6853

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Other Podiatrist providers in Maumee, OH

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