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1073540118
BRIAN WILLIAM LANE
PRINEVILLE, OR
NPI
1073540118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD19148)
Enumeration Date
2006-06-26
Last Update Date
2008-05-19
Business Address
Dr. BRIAN WILLIAM LANE M.D.
1201 N ELM
PRINEVILLE, OR 97754
Phone number: 541-447-6254
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Mailing Address
Dr. BRIAN WILLIAM LANE M.D.
11436 BRIAN LN NE
POULSBO, WA 98370-7919
Phone number:
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