Individual
PATRICK LANE REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 JESSE HILL JR DR SE, DEPT. OF ANESTHESIOLOGY, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
1479 KAHANNA DR, DECATUR, GA 30033-2320
(360) 356-5767
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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