Lane Pediatrics PA
NPI #1780001420 in Fort Myers, Florida
Provider Information
- NPI Number
- 1780001420
- Entity Type
- Organization
- Organization Name
- Lane Pediatrics PA
- Primary Specialty
- Pediatrics
- Enumeration Date
- Mar 19, 2014
- Last Updated
- May 6, 2021
Practice Location
- Address
- 7841 CAMBRIDGE MANOR PL STE C
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33907-4635
- Phone
- (239) 908-3593
Authorized Official
- Name
- SARA LANE, M.D.
- Title
- OWNER
- Phone
- (239) 908-3593
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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