Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN BRYAN LANE, DO
Active Sole ProprietorJORDAN BRYAN LANE, DO is a Dermatology healthcare provider located in WEST PLAINS, Missouri. NPI 1639758006 is currently active in the NPPES registry. Verify at CMS.
Dermatology · WEST PLAINS, MO
Registration Details
- NPI Number
- 1639758006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2021 (5.3999985959932 yrs)
- Last Updated
- Jul 6, 2025
- License
-
2022025223 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 N KENTUCKY AVEWEST PLAINS, MO, 657752029Browse MO providers · Browse ZIP 65775
- Phone
- 4172569111
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in WEST PLAINS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. LESLIE ANN MARSHALL | D.O. | 1477878221 |
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.