Organization
LANE AND ASSOCIATES LIV 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
941 HEATHER PARK DR STE A, GARNER, NC 27529-4592
(919) 772-8895
Mailing address
941 HEATHER PARK DR STE A, GARNER, NC 27529-4592
(919) 772-8895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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