Individual
RANDY E. LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2311 LAKE PARK DR, ALBANY, GA 31707-3183
(229) 435-0525
(229) 434-9827
Mailing address
PO BOX 71367, ALBANY, GA 31708-1367
(229) 435-0525
(229) 434-9827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
01/19/2017
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