Individual
SARA K LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9260 ESTERO PARK COMMONS BLVD STE 100, ESTERO, FL 33928-6468
(239) 908-3593
(239) 908-3597
Mailing address
9260 ESTERO PARK COMMONS BLVD STE 100, ESTERO, FL 33928-6468
(239) 908-3593
(239) 908-3597
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 111008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004015700
—
FL
01
—
14FZ2
FL BLUE
FL
Enumeration date
06/26/2008
Last updated
03/01/2018
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