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Individual

COURTNEY LOUISE LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
14 MEDICAL PARK, STE. 350- EMERGENCY MEDICINE, COLUMBIA, SC 29203
(803) 434-7088
(803) 434-3946
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 434-3946

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1507
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15076
SC
Enumeration date
07/01/2011
Last updated
11/02/2021
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