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1811045644
KENNETH C. LANE
FONTANA, CA
NPI
1811045644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A43669)
Enumeration Date
2007-01-08
Last Update Date
2008-09-23
Business Address
KENNETH C. LANE MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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Mailing Address
KENNETH C. LANE MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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