Individual
BENJAMIN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
5835 LOUIS XIV ST, NEW ORLEANS, LA 70124-2806
(713) 825-6393
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN154549
LA
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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