Individual
DR. W. PATRICK LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DD
Contact information
Practice address
1519 RIFLE RANGE RD, MT PLEASANT, SC 29464-3935
(843) 819-5533
Mailing address
1519 RIFLE RANGE RD, MOUNT PLEASANT, SC 29464-3935
(843) 819-5533
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
8995
HI
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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