DR. Lawrence Benjamin Lane, D.M.D.

NPI #1376564823 in Mountain Home, Tennessee

Provider Information

NPI Number: 1376564823
Entity Type: Individual
Name: DR. Lawrence Benjamin Lane, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: CORNER OF SIDNEY AND LAMONT (JOHNSON CITY)
Address 2: JAMES H. QUILLEN/VAMC
City: Mountain Home
State: Tennessee
ZIP Code: 37684
Phone: (423) 926-1171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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