Search › Michigan › 1041C0700X
Irene Lane
NPI 1942834809 · on the registry since 2020 · sole proprietor
Practice
- Address
- 24600 Northwestern Hwy
Southfield, MI 48075 - Phone
- (248) 871-1474
- Fax
- (248) 994-2639
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan