NPI 1811989676

Lane Lamar Wall, MD

Practitioner Occupational Medicine Physician Fort Carson, CO

Practice location

Address: Bldg 813 Room 104, Fort Carson, CO 80913
Phone: (719) 524-7350

Registered specialties (2)

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 182257-1205 (UT)

Other Preventive Medicine providers in Colorado →

Aerospace Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 182257-1205 (UT)

Registry record

NPI: 1811989676
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2005
Record last updated: 20 Apr 2015

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.