Individual
CHRISTOPHER JAMES LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2076 NC 42 W, SUITE 230, CLAYTON, NC 27520
(919) 553-5711
Mailing address
222 GLENWOOD AVE APT 410, RALEIGH, NC 27603-1495
(978) 870-9573
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-08404
NC
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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