Individual
DIANA M LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 HARDEN BLVD BLDG 1, LAKELAND, FL 33803-7952
(407) 707-5018
Mailing address
7512 DR PHILLIPS BLVD STE 50-792, ORLANDO, FL 32819-5420
(407) 707-5018
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS20244
FL
208600000X
Surgery Physician
T5423
TX
Other
Enumeration date
06/02/2017
Last updated
07/31/2023
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