Lane, Kim Rae
Lane, Kim Rae is an sole proprietor health care provider with primary practice located at 630 15Th Ave Suite 200, Longmont CO 80501-2700. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lane, Kim Rae can be contacted via phone (303) 776-5820.Contact Information
Primary practice address
630 15Th Ave Suite 200
Longmont CO 80501-2700
Phone: (303) 776-5820
Fax: (303) 776-3302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 36341 | Colorado |
Profile Details
| NPI number | 1477548188 |
|---|---|
| LBN Legal business name | Lane, Kim Rae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jul 8th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477548188 | NPPES |
| Colorado | MEDICAID | 77633024 |
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