JORDAN LANE, DO

Dermatology

Active Individual
NPI: 1639758006

Practice Address

1100 N KENTUCKY AVE
West Plains, MO 65775

Phone: (417) 256-9111

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 2022025223 (MO)

Frequently Asked Questions

NPI 1639758006 is the National Provider Identifier for JORDAN LANE, DO, a Dermatology provider located in West Plains, MO. This NPI was enumerated on April 5, 2021.
JORDAN LANE, DO practices at 1100 N KENTUCKY AVE, West Plains, MO 65775.

Quick Facts

NPI
1639758006
Type
Individual
Enumerated
Apr 5, 2021
Last Updated
Jul 6, 2025

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