Individual
MR. THOMAS KEITH LANE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW LMSW
Contact information
Practice address
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, ATTN:PROF AFFAIRS COORDINATOR, BEAUFORT, SC 29902-6122
(843) 228-5577
(843) 228-5196
Mailing address
PO BOX 6216A, NAVAL HOSPITAL BEAUFORT, ATTN:PROF AFFAIRS COORDINATOR, BEAUFORT, SC 29902-6148
(843) 228-5577
(843) 228-5196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5712
SC
Other
Enumeration date
11/23/2005
Last updated
07/08/2007
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