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Individual

DR. WESLEY GARRETT LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3886
(501) 664-5860
(501) 664-0889
Mailing address
2623 MEADOW WOOD DR, TEMPLE, TX 76502-7916
(806) 789-8452

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10043544
TX
207RC0000X
Cardiovascular Disease Physician
Primary
E12014
AR

Other

Enumeration date
05/10/2012
Last updated
08/21/2019
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