ROSS G LANE

MUNCIE, IN
NPI1164474961
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy103TH0100X Psychologist Health Service
(Licence: IN  20040913A)
Enumeration Date2006-05-17
Last Update Date2007-07-08
Business Address
ROSS G LANE PH.D.
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
Mailing Address
ROSS G LANE PH.D.
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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