Individual
CHRISTOPHER DAVID LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9330 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 858-9589
Mailing address
9330 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 858-9589
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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