Individual
DR. LANE GIBSON CLOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1202 HWY 22, EDWARDS, MS 39066
(601) 852-2832
(601) 852-8927
Mailing address
1202 HWY 22, EDWARDS, MS 39066
(601) 852-2832
(601) 852-8927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2535
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05730275
—
MS
Enumeration date
11/24/2006
Last updated
07/08/2007
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