Individual
BRITTANY ANNE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
115 N SHORTRIDGE RD, SUITE 100, INDIANAPOLIS, IN 46219-4916
(317) 357-2235
(317) 357-2210
Mailing address
115 N SHORTRIDGE RD, SUITE 100, INDIANAPOLIS, IN 46219-4916
(317) 357-2235
(317) 357-2210
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12011693A
IN
Other
Enumeration date
05/23/2013
Last updated
02/24/2015
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