Individual
DR. LANA RAE WOOD EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19606 SR 20 W, BLOUNTSTOWN, FL 32424-3916
(850) 674-5502
Mailing address
19606 SR 20 W, BLOUNTSTOWN, FL 32424-3916
(850) 674-5502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30597
FL
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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