NPI 1194078360

Michael Jeffery Lane, ATP

Practitioner Other Technician Baton Rouge, LA

Practice location

Address: 10632 Alco Ave Unit 1, Baton Rouge, LA 70816-4238
Phone: (866) 795-4825
Fax: (877) 723-6236
Mailing address: 1622 Bellrose Dr, Baton Rouge, LA 70815-5433

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence ATP 2652 (IL)

Other Technician, Other providers in Louisiana →

Registry record

NPI: 1194078360
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2012
Record last updated: 24 Oct 2012

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.