JUSTIN ANTHONY LANE

PONTIAC, MI
NPI1003622234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: MI  2012088)
Enumeration Date2024-12-03
Last Update Date2024-12-03
Business Address
JUSTIN ANTHONY LANE
304 WOODLAKE LN # 304
PONTIAC, MI 48340-1183
Phone number: 313-574-8845
Mailing Address
JUSTIN ANTHONY LANE
304 WOODLAKE LN # 304
PONTIAC, MI 48340-1183
Phone number:
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