Individual
DR. ALFRED THOMAS LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 BLAKE WILBUR DR., W0071, STANFORD, CA 94305-5334
(650) 723-6105
Mailing address
1018 LOMA PRIETA CT, LOS ALTOS, CA 94024-5024
(650) 960-1354
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A26128
CA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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