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1376628388
KENNETH S LANE
GRAND JUNCTION, CO
NPI
1376628388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CO 27953)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- KENNETH S LANE MD
2021 N 12TH ST
GRAND JUNCTION, CO 81501-2980
Phone number: 970-242-0920
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Mailing Address
-- KENNETH S LANE MD
2754 COMPASS DR SUITE 300
GRAND JUNCTION, CO 81506-8714
Phone number: 970-254-1686
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