Individual
PAULA JEAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13170-B CENTRAL AVE SE BOX 120, ALBUQUERQUE, NM 87123-5588
(505) 350-1700
(505) 348-8546
Mailing address
13170-B CENTRAL AVE SE BOX 120, ALBUQUERQUE, NM 87123-5588
(505) 350-1700
(505) 348-8546
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
81-151
NM
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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