Individual
SAMANTHA JO LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9020 ALBEMARLE RD STE E, CHARLOTTE, NC 28227-2604
(980) 202-6526
(855) 215-5459
Mailing address
9020 ALBEMARLE RD STE E, CHARLOTTE, NC 28227-2604
(855) 215-5459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016-00938
NC
208000000X
Pediatrics Physician
2016-00938
NC
Other
Enumeration date
05/05/2010
Last updated
09/17/2025
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