Individual
JOSHUA EDWARD LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 BROOKSTONE CENTRE PARKWAY, COLUMBUS, GA 31904-9272
(706) 322-1717
(706) 322-1718
Mailing address
1210 BROOKSTONE CENTRE PARKWAY, COLUMBUS, GA 31904-9272
(706) 322-1717
(706) 322-1718
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
051155
GA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
51155
GA
Other
Enumeration date
07/07/2005
Last updated
03/15/2023
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