Individual
DR. TIMOTHY GERALD LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1393 GRANDVIEW BLVD, KISSIMMEE, FL 34744-6611
(321) 591-9229
(407) 552-4197
Mailing address
1393 GRANDVIEW BLVD, KISSIMMEE, FL 34744-6611
(321) 591-9229
(407) 552-4197
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME43204
FL
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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