Organization
LANE AND ASSOCIATES LI DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DUFFY (CREDENTIALING MANAGER)
(919) 295-2757
Entity
Organization
Contact information
Practice address
311 S BICKETT BLVD, LOUISBURG, NC 27549-2701
(919) 729-1366
Mailing address
311 S BICKETT BLVD, LOUISBURG, NC 27549-2701
(919) 729-1366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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