Individual
DR. LANE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4175 S ALAMO AVE, TUCSON, AZ 85707
(520) 228-2646
Mailing address
PSC 9 BOX 3054, APO, AE 09123-0031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414511
VA
Other
Enumeration date
08/05/2014
Last updated
11/04/2019
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