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Individual

MR. EARL EUGENE LANE JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC/L

Contact information

Practice address
2000 CHURCH ST, NASHVILLE, TN 37236-0001
(615) 284-4807
Mailing address
201 EASTGATE CRESCENT PL, FRANKLIN, TN 37069-4349
(615) 284-4807

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
111
TN

Other

Enumeration date
05/12/2006
Last updated
07/08/2007
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