Individual
JOHN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 PEACHTREE ST, ATLANTA, GA 30308
(404) 778-4852
Mailing address
503 SADDLEBRED LN SE, MARIETTA, GA 30067-5059
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
024967
GA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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