Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER C LANE, D.O.
ActiveDR. JENNIFER C LANE, D.O. is a Facial Plastic Surgery healthcare provider located in WOODBURY, Minnesota. NPI 1366756793 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · WOODBURY, MN
Registration Details
- NPI Number
- 1366756793
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2010 (16.060381640861 yrs)
- Last Updated
- Jan 25, 2024
- Licenses
-
75447 (MN)81318-21 (WI)5101018351 (MI)036-138341 (IL)036-138341 (IL)
Practice Information
- Address
-
8675 VALLEY CREEK RDWOODBURY, MN, 551252337Browse MN providers · Browse ZIP 55125
- Phone
- 6512413000
- Fax
- 6512413500
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Facial Plastic Surgery
- Additional Specialty
- Facial Plastic Surgery
- Additional Specialty
- Facial Plastic Surgery
- Additional Specialty
- Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.