Individual
DR. WILL HARLEY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 932-6330
(925) 932-0139
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 932-6330
(925) 932-0139
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G30683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G306830
CA LICENSE
CA
Enumeration date
12/02/2005
Last updated
01/25/2018
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