DR. Charles Edward Lane JR.

NPI #1801996657 in Athens, West Virginia

Provider Information

NPI Number: 1801996657
Entity Type: Individual
Name: DR. Charles Edward Lane JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: STATE ROUTE 20 NORTH
City: Athens
State: West Virginia
ZIP Code: 24712-0915
Phone: (304) 384-9805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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