Mr. Jeremy Lane JR.

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NPI Number Detailed Information

Provider Information:

Name:	Mr. Jeremy Lane JR.
Gender:	M
Provider License Number If Given:	9937

NPI Information:

NPI:	1144205220
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/12/2005
Last Update Date:	3/29/2019

Provider Business Mailing Address:

Address:	3931 LOUISIANA AVE S St Louis Park, MN 55426
Phone Number:	9529933230
Fax Number:	9529931748

Provider Business Practice Location Address:

Address:	3931 LOUISIANA AVE S St Louis Park, MN 55426
Phone Number:	9529933230
Fax Number:	9529931748

Provider Taxonomy:

Primary:	363AS0400X
Secondary (if any):
State:	MN

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About Mr. Jeremy Lane JR.

Mr. Jeremy Lane JR.(MR. JEREMY LANE JR.) is Definition Physician Assistant Physician in St Louis Park, MN. The NPI Number for Mr. Jeremy Lane JR. is 1144205220.

The current location address for Mr. Jeremy Lane JR. is 3931 LOUISIANA AVE S St Louis Park, MN 55426 and the contact number is 9529933230 and fax number is 9529931748. The mailing address for Mr. Jeremy Lane JR. is 3931 LOUISIANA AVE S St Louis Park, MN 55426- 9529933230 (mailing address contact number - 9529933230).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Jeremy Lane JR.?

Answer: The NPI Number for Mr. Jeremy Lane JR. is 1144205220

Where is Mr. Jeremy Lane JR. located?

Answer: Mr. Jeremy Lane JR. is located at 3931 LOUISIANA AVE S St Louis Park, MN 55426.

What is the specialty for Mr. Jeremy Lane JR.?

Answer: The Specialty of Mr. Jeremy Lane JR. is Definition Physician Assistant Physician.

Are there any online reviews for Mr. Jeremy Lane JR.?

Answer: Not yet!

Are there any other health care providers in St Louis Park, MN?

Answer: Yes, there are given below...

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