Individual
DR. TARA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
665 DULUTH HWY STE 401, LAWRENCEVILLE, GA 30046-4303
(678) 312-0450
Mailing address
665 DULUTH HWY STE 401, LAWRENCEVILLE, GA 30046-4303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83161
GA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
83161
GA
208000000X
Pediatrics Physician
83161
GA
Other
Enumeration date
04/16/2015
Last updated
03/20/2024
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