IndividualActive
Jennifer Lane, D.O.
NPI 1366756793 · Otolaryngology/Facial Plastic Surgery Physician · Woodbury, MN
Provider details
- NPI number
- 1366756793
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 75447 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone: (651) 241-3000
Fax: (651) 241-3500
Approximate (ZIP-level) locationGet directions
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Registry dates
- Enumerated
- 2010-07-27
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.