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Organization

LANE AND ASSOCIATES II, DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAMMY MORAN (COMPTROLLER)
(910) 814-2944
Entity
Organization

Contact information

Practice address
100 N 10TH ST, BOX 546, ERWIN, NC 28339-1802
(910) 897-4083
(910) 980-0240
Mailing address
100 N 10TH ST, BOX 546, ERWIN, NC 28339-1802
(910) 897-4083
(910) 980-0240

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4785
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0203F
BCBS-NC HEALTH CHOICE
NC
01
1378581
UNITED CONCORDIA
NC
05
890203F
NC
Enumeration date
01/16/2007
Last updated
08/22/2020
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