Derrick F Lane, M.D.

NPI #1124079447 in Macon, Georgia

Provider Information

NPI Number: 1124079447
Entity Type: Individual
Name: Derrick F Lane, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 12, 2006
Last Updated: Jan 11, 2011

Practice Location

Address: 818 FORSYTH STREET
City: Macon
State: Georgia
ZIP Code: 31201-2139
Phone: (478) 633-7010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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