Organization
LANE AND ASSOCIATES VII, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY MORAN (COMPTROLLER)
(910) 814-2944
Entity
Organization
Contact information
Practice address
102 SOUTH MAIN ST., BOX 2227, LILLINGTON, NC 27546
(910) 893-1096
(910) 814-1559
Mailing address
102 SOUTH MAIN ST., PO BOX 2227, LILLINGTON, NC 27546
(910) 893-1096
(910) 814-1559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0257K
BCBS-NC HEALTHCHOICE
NC
01
—
1378595
UNITED CONCORDIA
NC
05
—
690257K
—
NC
Enumeration date
01/16/2007
Last updated
08/22/2020
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