Individual
DR. CAROLE C LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1108 DOUGLAS AVE, BREWTON, AL 36426-1579
(251) 867-1711
(251) 867-1474
Mailing address
1108 DOUGLAS AVE, BREWTON, AL 36426-1579
(251) 867-1711
(251) 867-1474
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
11195
AL
207R00000X
Internal Medicine Physician
Primary
00011195
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LA000082064
—
AL
Enumeration date
05/04/2006
Last updated
06/26/2013
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