| NPI | 1235525916 |
|---|---|
| Other Name | KELVIN LANE MD |
| Entity Type | Organization |
| Authorized Contact | KELVIN LANE Owner 229-881-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: GA 08821) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |