Kirk Lane
Family Doctor
610 W Adams St
Black River Falls
, Wisconsin 54615-9010
Kirk Lane
Family Doctor
610 W Adams St
Black River Falls
, Wisconsin 54615-9010
(715) 284-2568
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Kirk Lane
- 610 W Adams St
- Black River Falls, WI
- Zip : 54615-9010
- Fax : (715) 284-2568
- Phone : (715) 284-4311
Second Address
- Kirk Lane
- 610 W Adams St
- Black River Falls, WI
- Zip : 54615-9010
- Fax : (715) 284-2568
- Phone : (715) 284-4311
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 43326 | WI |
National Provider Identifier
| NPI | 1003840372 |
|---|---|
| Provider Name | Kirk Lane |
| First Address | Black River Falls, WI 54615-9010 |
| Second Address | Black River Falls, WI 54615-9010 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 07/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 34097800 | (05) | WI |
| H39650 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.