MR. Micah Grant Lane, B.A. is a mental health counselor in Durant, OK. MR. Micah Grant Lane, B.A. NPI is 1811214083. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
212 W EVERGREEN ST
DURANT, OK
ZIP 74701-710
Phone: (580) 931-9901
Fax: (580) 931-9953
The enumeration date for this NPI number is 4/28/2010 and was last updated on 4/28/2010.