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1558370361
KEITH J LANE
SALT LAKE CITY, UT
NPI
1558370361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 180506-1205)
Enumeration Date
2006-08-08
Last Update Date
2011-11-22
Business Address
-- KEITH J LANE MD
82 S 1100 E 204
SALT LAKE CITY, UT 84102-1686
Phone number: 801-350-4602
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Mailing Address
-- KEITH J LANE MD
82 S 1100 E SUITE 204
SALT LAKE CITY, UT 84102-1686
Phone number: 801-350-4602
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