Individual
DR. LAWRENCE BENJAMIN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
CORNER OF SIDNEY AND LAMONT (JOHNSON CITY), JAMES H. QUILLEN/VAMC, MOUNTAIN HOME, TN 37684
(423) 926-1171
(423) 979-3428
Mailing address
301 MICHAELS RIDGE BLVD, JOHNSON CITY, TN 37615-5506
(423) 753-5735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4645
TN
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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