Individual provider · Type 1 NPI
Michael Jeffery Lane, ATP
Other Technician · Baton Rouge, LA
NPI number
1194078360
Active
Practice location
10632 Alco Ave, Unit 1
Baton Rouge, LA 70816-4238
Fax (877) 723-6236
Mailing address
1622 Bellrose Dr
Baton Rouge, LA 70815-5433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | ATP 2652 (IL) |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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About NPI 1194078360
Michael Jeffery Lane, ATP's National Provider Identifier is 1194078360, issued on Oct 24, 2012. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Baton Rouge, LA. The record was last updated on Oct 24, 2012.