Individual
ROBERT PERSON LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4561 MILLBRANCH RD STE 1, MEMPHIS, TN 38116-7437
(901) 396-5700
(347) 442-3138
Mailing address
4561 MILLBRANCH RD STE 1, MEMPHIS, TN 38116-7437
(901) 396-5700
(347) 442-3138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008551
TN
1223G0001X
General Practice Dentistry
047164
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306006986
—
NY
Enumeration date
06/17/2008
Last updated
10/23/2018
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