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Organization
LANE AND ASSOCIATES III, DDS PA
Active
Organization
LANE AND ASSOCIATES III, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY MORAN (COMPTROLLER)
(910) 814-2944
Entity
Organization
Contact information
Practice address
15 RAWLS ROAD, SUITE 200 BOX 160, ANGIER, NC 27501
(919) 639-2272
(919) 639-8654
Mailing address
15 RAWLS ROAD, SUITE 200 BOX 160, ANGIER, NC 27501
(919) 639-2272
(919) 639-8654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172C
BCBS-NC HEALTHCHOICE
NC
01
—
138012
UNITED CONCORDIA
NC
05
—
890172C
—
NC
Enumeration date
01/16/2007
Last updated
10/02/2008
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