Stephanie Breanne Lane, PA
NPI #1992307623 in Lillington, North Carolina
Provider Information
- NPI Number
- 1992307623
- Entity Type
- Individual
- Name
- Stephanie Breanne Lane, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Nov 9, 2020
- Last Updated
- Nov 9, 2020
Practice Location
- Address
- 40 AUTUMN FERN TRL
- City
- Lillington
- State
- North Carolina
- ZIP Code
- 27546-5155
- Phone
- (910) 364-0971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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