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Individual

MR. JAMES MICHAEL LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
140 THORNE BLVD, GALLATIN, TN 37066-1509
(615) 451-0788
(615) 451-0775
Mailing address
93 BUSBY HOLLOW LN, HENDERSONVILLE, TN 37075-8401
(615) 513-4576

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PTA0000001827
TN

Other

Enumeration date
02/02/2017
Last updated
02/02/2017
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