Individual
DIANNE ELAINE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
755 N US HIGHWAY 441, LADY LAKE, FL 32159-3196
(352) 751-5989
(352) 751-6443
Mailing address
755 N US HIGHWAY 441, LADY LAKE, FL 32159-3196
(352) 751-5989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS32675
FL
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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