Organization
LANE DERMATOLOGIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA EDWARD LANE M.D. (PROVIDER/PRESIDENT)
(706) 322-1717
Entity
Organization
Contact information
Practice address
1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-2954
(706) 322-1717
(706) 322-1718
Mailing address
1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-2954
(706) 322-1717
(706) 322-1718
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
03/15/2023
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