Kirt Lane, CPC

Practice location

Address

1408 12th Avenue, Longview, WA 98632-3822

Phone

(360) 998-3050

Fax

(360) 200-6736

Mailing address

PO Box 2394, Longview, WA 98632

Registered specialties

Registry record

NPI

1013541341

Entity type

Individual

Sex (as registered)

Male

NPI issued

25 Feb 2020

Record last updated

18 Sep 2023

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.