Individual
ELIZABETH CHRISTIANNE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1020, ATLANTA, GA 30308-2247
(404) 874-3467
(404) 874-5858
Mailing address
1153 SHEPHERS LANE NE, ATLANTA, GA 30324
(678) 787-5244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009112
GA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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