Organization
ALEXIS LANE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS GRACE LANE M.D. (PRESIDENT, S-CORP)
(831) 688-8333
Entity
Organization
Contact information
Practice address
8055 VALENCIA ST, APTOS, CA 95003-3954
(831) 688-8333
(831) 688-8272
Mailing address
8055 VALENCIA ST, APTOS, CA 95003-3954
(831) 688-8333
(831) 688-8272
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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