Organization
CHARLES S LANE ,M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S LANE MD (OWNER)
(310) 858-0104
Entity
Organization
Contact information
Practice address
8640 W 3RD ST, #300, LOS ANGELES, CA 90048-3323
(310) 858-0104
(310) 858-8107
Mailing address
8640 W 3RD ST, #300, LOS ANGELES, CA 90048-3323
(310) 858-0104
(310) 858-8107
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ73226Z
—
CA
Enumeration date
06/22/2007
Last updated
06/25/2012
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