Lane Michael Shish
Lane Michael Shish is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
420 Delaware Street SE Mmc 394Minneapolis, MN 55455
Phone: (612) 625-8364
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1235718859 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2021 |
| Last updated in NPPES | April 2, 2021 |
| Certification date | March 14, 2021 |
| Mailing address | 420 Delaware Street Se, Mmc 394, Minneapolis, MN 55455 |
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