Provider Demographics
NPI:1851614937
Name:MYHREE, LANE BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:LANE
Middle Name:BETH
Last Name:MYHREE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8028 SW 67TH RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-7564
Mailing Address - Country:US
Mailing Address - Phone:727-515-8567
Mailing Address - Fax:
Practice Address - Street 1:3429 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2402
Practice Address - Country:US
Practice Address - Phone:352-681-4081
Practice Address - Fax:352-451-4133
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5835111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor