Individual
DARIAN MAURICE LANEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1302 LEXINGTON AVE, THOMASVILLE, NC 27360-3419
(336) 475-6139
(336) 475-3331
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2021-01999
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2017
Last updated
09/10/2021
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