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Individual
DR. MELANIE ANN LANE
Active
Individual
DR. MELANIE ANN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30590
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30590
LICENSE
AZ
01
—
Z22506
MEDICARE GROUP PIN
AZ
Enumeration date
12/01/2005
Last updated
04/17/2025
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