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Individual

JAMES R LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3222 W AZEELE ST, SUITE A, TAMPA, FL 33622-5437
(813) 872-8491
(813) 872-7766
Mailing address
PO BOX 25437, TAMPA, FL 33622-5437
(813) 854-2003
(813) 855-3765

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME23701
FL

Other

Enumeration date
07/14/2006
Last updated
07/08/2007
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