Lane and Associates IV
NPI #1437200417 in Mount Olive, North Carolina
Provider Information
- NPI Number
- 1437200417
- Entity Type
- Organization
- Organization Name
- Lane and Associates IV
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 315 HIGHWAY 55 WEST
- Address 2
- BOX 180
- City
- Mount Olive
- State
- North Carolina
- ZIP Code
- 28365
- Phone
- (919) 658-9555
Authorized Official
- Name
- MRS. TAMMY MORAN
- Title
- COMPTROLLER
- Phone
- (910) 814-2944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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