Individual
DR. JOHN M. LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1912 BRUIN DR, FLORENCE, AL 35630-6769
(256) 760-8000
Mailing address
150 WILDWOOD TRL, FLORENCE, AL 35630-0735
(256) 767-4234
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4176
AL
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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