Organization
LANE DERMATOLOGY & DERMATOLOGIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA EDWARD LANE M.D. (PROVIDER/PRESIDENT)
(706) 322-1717
Entity
Organization
Contact information
Practice address
1210 BROOKSTONE CENTRE PARKWAY, COLUMBUS, GA 31904-9272
(706) 322-1717
(706) 322-1718
Mailing address
1210 BROOKSTONE CENTRE PARKWAY, COLUMBUS, GA 31904-9272
(706) 322-1717
(706) 322-1718
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
03/15/2023
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