Individual
DR. CHARLES SHERWIN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8640 W 3RD ST, 300, LOS ANGELES, CA 90048-3323
(310) 858-0104
(310) 858-8107
Mailing address
8640 W 3RD ST, 300, LOS ANGELES, CA 90048-3323
(310) 858-0104
(310) 858-8107
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G6265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ73226Z
—
CA
Enumeration date
06/16/2006
Last updated
06/25/2012
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