NPI 1003622234
Justin Anthony Lane
Practice location
- Address
- 304 Woodlake Ln # 304, Pontiac, MI 48340-1183
- Phone
- (313) 574-8845
Registered specialties
Emergency Medical Services (Emergency Medicine) Physician
Primary
Registry record
- NPI
- 1003622234
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Dec 2024
- Record last updated
- 3 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.