BRANDON ALLEN LANE

SPRINGFIELD, MO
NPI1396367264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
Enumeration Date2020-05-13
Last Update Date2020-05-13
Business Address
BRANDON ALLEN LANE
1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802-1917
Phone number: 417-269-8592
Mailing Address
BRANDON ALLEN LANE
404 E HALSEY ST
REPUBLIC, MO 65738-2624
Phone number: 417-268-8593