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Individual

JAMES LANE JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5 SEVERANCE CIR, SUITE 705, CLEVELAND HEIGHTS, OH 44118-1566
(216) 381-1311
(216) 381-2606
Mailing address
5 SEVERANCE CIR, SUITE 705, CLEVELAND HEIGHTS, OH 44118-1566
(216) 381-1311
(216) 381-2606

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-044197
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0534505
OH
Enumeration date
03/17/2006
Last updated
07/08/2007
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