Individual
REBECCA SUSAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY STE 300, MATTHEWS, NC 28105-5332
(704) 865-7416
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2023-00871
NC
Other
Enumeration date
04/18/2019
Last updated
01/05/2026
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