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Individual
LANE M LEE
Active
Individual
LANE M LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
7886
ND
2086S0129X
Vascular Surgery Physician
Primary
34.005124
OH
2086S0129X
Vascular Surgery Physician
7886
ND
Other
Enumeration date
10/10/2006
Last updated
01/11/2018
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