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MR. CHRISTOPHER LAFON LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
901 E CHEVES ST, SUITE 510, FLORENCE, SC 29506-2716
(843) 777-6357
(843) 777-8165
Mailing address
809 NOLIE RD, MULLINS, SC 29574-6033
(843) 496-5417
(843) 777-8165

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1617
SC

Other

Enumeration date
06/28/2007
Last updated
07/08/2007
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