MEDICARE: DR. LANA K KLEIN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1321	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841457082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANA K KLEIN D.C.

Provider Business Mailing Address
First Line	:	523 NORTH DEWEY STREET
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-3912
Country	:	US
Telephone Number	:	308-532-3377
Fax Number	:	308-532-3382

Provider Business Practice Location Address
First Line	:	523 NORTH DEWEY STREET
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-3912
Country	:	US
Telephone Number	:	308-532-3377
Fax Number	:	308-532-3382

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	09/09/2010

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