Individual
CORNELIUS WILLIAM LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3280 PROFESSIONAL DR, SUITE A, AUBURN, CA 95602-2491
(530) 887-0646
(530) 885-2180
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G25743
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G257430
—
CA
Enumeration date
07/27/2006
Last updated
07/09/2007
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