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Organization
LANE FAMILY WELLNESS CENTER, LLC.
Active
Organization
LANE FAMILY WELLNESS CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY MICHAEL LANE DC (OWNER)
(813) 968-4293
Entity
Organization
Contact information
Practice address
1323 W FLETCHER AVE STE A, TAMPA, FL 33612-3310
(813) 968-4293
(813) 968-3182
Mailing address
1323 W FLETCHER AVE STE A, TAMPA, FL 33612-3310
(813) 968-4293
(813) 968-3182
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/07/2017
Last updated
12/26/2017
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