Michael W Lane MD PC
NPI #1114003746 in Petersburg, Virginia
Provider Information
- NPI Number
- 1114003746
- Entity Type
- Organization
- Organization Name
- Michael W Lane MD PC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Mar 5, 2008
Practice Location
- Address
- 95 PINEHILL BLVD
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9233
- Phone
- (804) 641-6741
Authorized Official
- Name
- MICHAEL W LANE, MD
- Title
- OWNER
- Phone
- (804) 641-6741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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