Individual
ASHLEY SMITH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60026 HIGHWAY 49, LINEVILLE, AL 36266-4735
(256) 396-2141
(256) 396-5884
Mailing address
PO BOX 98, LINEVILLE, AL 36266-0098
(256) 396-2141
(256) 396-5884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD33763
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649616194
—
AL
Enumeration date
05/10/2013
Last updated
08/03/2016
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