Organization
LANE AND ASSOCIATES XI, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY MORAN (COMPTROLLER)
(910) 814-2944
Entity
Organization
Contact information
Practice address
8961 HARVEST OAKS DR, RALEIGH, NC 27615-2077
(919) 676-7777
(919) 676-7947
Mailing address
8961 HARVEST OAKS DR, RALEIGH, NC 27615-2077
(919) 676-7777
(919) 676-7947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016YH
BCBS-NC HEALTHCHOICE
NC
Enumeration date
01/22/2007
Last updated
08/22/2020
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