| NPI | 1477627032 |
|---|---|
| Former Name | LANI COOK MCLANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MT #2271) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ID D-4032) |
| 1223G0001X Dentist, General Practice (Licence: MT 2271) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-11-06 |