Individual
ANDREW SCOTT LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W FARIS RD STE 470, GREENVILLE, SC 29605-4281
(864) 455-1600
(864) 455-3095
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
34901
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225390107
TRICARE/CHAMPUS
VA
05
—
1225390107
—
VA
Enumeration date
06/15/2012
Last updated
05/23/2021
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