Individual
DR. DAKOTAH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 N CLYDE MORRIS BLVD, SUITE 200, DAYTONA BEACH, FL 32114-2724
(386) 254-4165
Mailing address
201 N CLYDE MORRIS BLVD, SUITE 200, DAYTONA BEACH, FL 32114-2724
(386) 254-4165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18721
FL
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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