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Individual

LANE S. LAKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-1358
Mailing address
211 E LAKE DR, BRANDON, MS 39047-6331

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16864
MS
207X00000X
Orthopaedic Surgery Physician
38203
FL

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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