Wall, Lane Lamar

Wall, Lane Lamar is an individual health care provider with primary practice located at Bldg 813 Room 104 , Fort Carson CO 80913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Wall, Lane Lamar can be contacted via phone (719) 524-7350.

Contact Information

Primary practice address
Bldg 813 Room 104 Fort Carson CO 80913
Phone: (719) 524-7350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 182257-1205 Utah
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 182257-1205 Utah

Profile Details

NPI number 1811989676
LBN Legal business name Wall, Lane Lamar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 20th, 2015 - about 10 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.

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