Organization
LANE AND ASSOCIATES LII DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DUFFY (CREDENTIALING MANAGER)
(919) 295-2757
Entity
Organization
Contact information
Practice address
1932 S 16TH ST, WILMINGTON, NC 28401-6611
(910) 763-8129
Mailing address
1932 S 16TH ST, WILMINGTON, NC 28401-6611
(910) 763-8129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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