William Russell Lane, DC Valid NPI
Individual provider · Chiropractor · Perkins, OK
- NPI
- 1134355076
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 3885 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-06-05
- Last updated
- 2009-06-05
Practice location
509 E Highway 33
Perkins, OK 74059-4129
(405) 547-2473