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Individual

NOAH ALEXANDER FRED LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2576 LAWRENCEVILLE SUWANEE RD STE 101, SUWANEE, GA 30024-7291
(770) 962-4043
Mailing address
2576 LAWRENCEVILLE SUWANEE RD STE 101, SUWANEE, GA 30024-7291
(770) 962-4043

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
05/16/2022
Last updated
05/16/2022
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