Individual
DR. DAKOTA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0186
(352) 265-5911
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME132840
FL
207P00000X
Emergency Medicine Physician
TRN20102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021181400
—
FL
01
—
JA258Z
MEDICARE
FL
Enumeration date
06/13/2014
Last updated
07/21/2022
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