NPI 1063674158

Kylie Ann Lane, PHARMD

Practitioner Pharmacist Watertown, NY

Practice location

Address: 929 Arsenal St, Watertown, NY 13601-2305
Phone: (315) 788-0309

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051830 (NY)

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Registry record

NPI: 1063674158
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2008
Record last updated: 30 Jun 2008

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.