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Individual

DR. CLAYTON GRAY LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1720 SPRING HILL AVE FL 3, MOBILE, AL 36604-1410
(251) 435-2663
Mailing address
1720 SPRING HILL AVE FL 3, MOBILE, AL 36604-1410
(251) 435-2663

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28325
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD.28325
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009910928
AL
Enumeration date
05/03/2007
Last updated
03/11/2024
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