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Individual

DR. HERBERT TOMMY LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2400 SOUTH MCCALL RD, SUITE F, ENGLEWOOD, FL 34224
(941) 473-3338
(941) 474-8597
Mailing address
2400 SOUTH MCCALL RD, SUITE F, ENGLEWOOD, FL 34224
(941) 473-3338
(941) 474-8597

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 0002446
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P02446
FLA LIC NUMBER
FL
Enumeration date
12/14/2006
Last updated
04/22/2008
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