MICHAEL JEFFERY LANE

BATON ROUGE, LA
NPI1194078360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247200000X 
(Licence: IL  ATP 2652)
Enumeration Date2012-10-24
Last Update Date2012-10-24
Business Address
-- MICHAEL JEFFERY LANE ATP
10632 ALCO AVE UNIT 1
BATON ROUGE, LA 70816-4238
Phone number: 866-795-4825
Mailing Address
-- MICHAEL JEFFERY LANE ATP
1622 BELLROSE DR
BATON ROUGE, LA 70815-5433
Phone number: 504-210-9293