Individual
DR. ROBERT ANSON LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 N CUTHBERT ST, COLQUITT, GA 39837-3401
(229) 758-3345
(229) 758-3339
Mailing address
PO BOX 96, COLQUITT, GA 39837-0096
(229) 758-3345
(229) 758-3339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013335
GA
Other
Enumeration date
07/06/2006
Last updated
11/05/2015
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