# MOUNTAIN DIABETES AND ENDOCRINE CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952522179
- **Authorized official:** DR. WENDY S LANE MD (PRACTICE OWNER/PHYSICIAN)
- **Authorized official phone:** (828) 676-0749

## Contact information

- **Practice address:** 7 WALDEN RIDGE DRIVE, STE 200, ASHEVILLE, NC 28803
- **Practice address phone:** (828) 676-0749
- **Practice address fax:** (828) 676-0762
- **Mailing address:** 7 WALDEN RIDGE DRIVE, STE 200, ASHEVILLE, NC 28803
- **Mailing address phone:** (828) 676-0749
- **Mailing address fax:** (828) 676-0762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NC | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 07/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 012E3 | BCBS GROUP NUMBER | NC |
| 05 | — | 89012E3 | — | NC |