Courtney Ann Lane M.D.

NPI 1124220223 - Pediatrics - 208000000X

NPI Details
NPI 1124220223
Gender Female
Enumeration Date 06/01/2007
Last Updated 01/18/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
65 VILLAGE SQUARE DR
SUITE 101
SOUTH KINGSTOWN RI, 02879-2292, US
Phone (401) 789-5924
Fax (401) 782-1770
Business Location
10 DAVOL SQ
SUITE 400
PROVIDENCE RI, 02903-4754, US
Phone (401) 421-4000
Fax (401) 272-1456
Toxanomy
Taxonomy Code 208000000X
License State Rhode Island
License Number MD13281
Remove 1124220223 NPI Number
 

According to our database, Courtney Ann Lane M.D. NPI is 1124220223, taxonomy code is 208000000X and license number is MD13281, license state is located at Rhode Island. Courtney Ann Lane M.D. physically located at 65 Village Square Dr, South Kingstown RI, 02879-2292. NPI Number Courtney Ann Lane M.D. has the Individual type.

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1124220223 NPI number is provided on an as is basis without warranty of any kind. 1124220223 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Ann Lane M.D. are for informational purposes only.