Individual
WHITNEY L LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4525 CAMERON VALLEY PKWY, SUITE 2100, CHARLOTTE, NC 28211-4369
(704) 302-8350
(704) 302-8351
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 302-8350
(704) 302-8351
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2006-01591
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720169998
—
NC
05
—
5905258
—
NC
05
—
N01596
—
SC
Enumeration date
10/17/2006
Last updated
11/23/2016
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