LANE ANTHONY KELLY

JBSA LACKLAND, ZZ
NPI1306589700
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  U6993)
Additional Taxonomies171000000X Military Health Care Provider
208D00000X General Practice
(Licence: TX  U6993)
Enumeration Date2022-04-14
Last Update Date2025-10-09
Business Address
Dr. LANE ANTHONY KELLY MD
1100 WILFORD HALL LOOP
JBSA LACKLAND, ZZ
Phone number: 512-584-4340
Mailing Address
Dr. LANE ANTHONY KELLY MD
1100 WILFORD HALL LOOP
APO, AA 32542-1302
Phone number: 210-292-1145