Individual
BENNIE W. LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LANE, #A 214, DALLAS, TX 75230-0000
(972) 566-7860
(972) 566-6673
Mailing address
7777 FOREST LANE, #A 214, DALLAS, TX 75230-0000
(972) 566-7860
(972) 566-6673
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D4190
TX
Other
Enumeration date
07/07/2006
Last updated
02/07/2008
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