Individual
DR. GREGORY EARL LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4623 STATE ROUTE 136, GREENSBURG, PA 15601-6415
(724) 836-4433
(724) 836-2507
Mailing address
4623 STATE ROUTE 136, GREENSBURG, PA 15601-6415
(724) 836-4433
(724) 836-2507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027216L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
729519
UNITED CONCORDIA PROVIDER
PA
Enumeration date
10/18/2006
Last updated
07/08/2007
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