Organization
LANE PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LANE M.D. (OWNER)
(239) 908-3593
Entity
Organization
Contact information
Practice address
7841 CAMBRIDGE MANOR PL STE C, FORT MYERS, FL 33907-4635
(239) 908-3593
(239) 908-3597
Mailing address
7841 CAMBRIDGE MANOR PL STE C, FORT MYERS, FL 33907-4635
(239) 908-3593
(239) 908-3597
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
05/06/2021
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