Individual
MRS. LISA ANN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH, PHARM.D.
Contact information
Practice address
200 RUNNING HILL RD, SOUTH PORTLAND, ME 04106-3258
(207) 871-0911
(207) 871-0911
Mailing address
200 RUNNING HILL RD, SOUTH PORTLAND, ME 04106-3258
(207) 871-0911
(207) 871-0911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5554
ME
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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