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Individual

ALAN S LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4000 HOLLYWOOD BLVD, SUITE 180N, HOLLYWOOD, FL 33021-6751
(954) 963-3336
(954) 963-3341
Mailing address
4000 HOLLYWOOD BLVD, SUITE 180N, HOLLYWOOD, FL 33021-6751
(954) 963-3336
(954) 963-3341

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME19364
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
052512000
FL
Enumeration date
10/16/2006
Last updated
09/04/2013
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