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Individual

LISA C LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6422 E SPEEDWAY BLVD STE 100, TUCSON, AZ 85710-1151
(520) 327-3487
(520) 327-3488
Mailing address
6422 E SPEEDWAY BLVD STE 100, TUCSON, AZ 85710-1151
(520) 327-3487
(520) 327-3488

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33982
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
932667
AZ
Enumeration date
11/07/2005
Last updated
02/13/2008
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