Individual
DR. EDWARD SIDNEY LANE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5565 MURRAY RD, MEMPHIS, TN 38119-3879
(901) 767-8152
(901) 761-2574
Mailing address
5565 MURRAY RD, MEMPHIS, TN 38119-3879
(901) 767-8152
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3825
TN
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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