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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LANE LAMAR WALL, M.D.

Active

DR. LANE LAMAR WALL, M.D. is a Occupational Medicine healthcare provider located in FORT CARSON, Colorado. NPI 1811989676 is currently active in the NPPES registry. Verify at CMS.

Occupational Medicine · FORT CARSON, CO

Registration Details

NPI Number
1811989676
Provider Type
Individual
Gender
Male
NPI Issued
Aug 18, 2005 (21.022857331697 yrs)
Last Updated
Apr 20, 2015
Licenses
182257-1205 (UT)
182257-1205 (UT)

Practice Information

Address
BLDG 813 ROOM 104
FORT CARSON, CO, 80913
Browse CO providers · Browse ZIP 80913
Phone
7195247350
Primary Specialty
Occupational Medicine
2083X0100X
Additional Specialty
Occupational Medicine
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.