Thomas Lane

NPI #1245773597 in Twinsburg, Ohio

Provider Information

NPI Number: 1245773597
Entity Type: Individual
Name: Thomas Lane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Nov 18, 2016
Last Updated: Nov 18, 2016

Practice Location

Address: 2071 MIDWAY DR
City: Twinsburg
State: Ohio
ZIP Code: 44087-1933
Phone: (330) 425-7978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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