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Dr. Kim Rae Lane, MD
Specialist in Longmont, Colorado
NPI 1477548188

Kim Rae Lane is a Specialist based in Longmont, CO. Kim Rae Lane practices in Longmont, CO and has the professional credentials of MD. The NPI Number for Kim Rae Lane is 1477548188 and holds a License No. 36341 (Colorado).

The current practice location address for Kim Rae Lane is 630 15Th Ave, Longmont, CO and can be reached out via phone at 303-776-5820 and via fax at 303-776-3302. You can also correspond with Kim Rae Lane through the mailing address at 630 15TH AVE, LONGMONT, CO - 80501-2700 (mailing address contact number: 303-776-5820).

Location: 630 15Th Ave, Longmont, CO, 80501-2700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477548188
Provider Name
Kim Rae Lane
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
630 15Th Ave, Longmont, CO, 80501-2700
Phone Number
303-776-5820
Fax Number
303-776-3302
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
77633024 05 CO
institution
Provider Business Practice Location Address Details
Address
630 15Th Ave
City
Longmont
State
Colorado
Zip
80501-2700
Phone Number
303-776-5820
Fax Number
303-776-3302
person
Provider Business Mailing Address Details
Address
630 15Th Ave
City
Longmont
State
Colorado
Zip
80501-2700
Phone Number
303-776-5820
Fax Number
303-776-3302
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
36341 (Colorado)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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