Individual provider · Type 1 NPI

Kim Rae Lane, MD

Specialist · Longmont, CO

NPI number 1477548188 Active · reactivated Apr 7, 2006

Practice location

630 15th Ave, Suite 200
Longmont, CO 80501-2700

Fax (303) 776-3302

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X36341 (CO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1477548188

Kim Rae Lane, MD's National Provider Identifier is 1477548188, issued on Sep 19, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Longmont, CO. The record was last updated on Jul 8, 2010.