Individual
LANE TREMELLING HAWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
3367 DOUGLAS RD, SOUTH BEND, IN 46635-1779
(574) 272-8823
Mailing address
3367 DOUGLAS RD, SOUTH BEND, IN 46635-1779
(480) 639-8047
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12014659A
IN
Other
Enumeration date
04/01/2019
Last updated
09/19/2025
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