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Individual

MRS. CHRISTIAN HORTON LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RTR,RCS

Contact information

Practice address
136 MEMORY PLZ, WHITEVILLE, NC 28472-2640
(910) 654-4789
(910) 654-6939
Mailing address
PO BOX 434, CHADBOURN, NC 28431-0434
(910) 914-6154
(910) 914-6156

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
112625
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13952
BCBS OF NC
NC
05
8105016
NC
Enumeration date
07/11/2006
Last updated
04/20/2015
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