David Richey Lane M.D.

NPI 1093744096 - Specialist - 174400000X

NPI Details
NPI 1093744096
Gender Male
Enumeration Date 07/02/2006
Last Updated 06/13/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
420 S HERLONG AVE
STE 103
ROCK HILL SC, 29732-1091, US
Phone (704) 919-1105
Fax (704) 910-3163
Business Location
15830 BALLANTYNE MEDICAL PLACE
STE 225
CHARLOTTE NC, 28277-3294, US
Phone (704) 919-1105
Fax (704) 910-3163
Toxanomy
Taxonomy Code 174400000X
License State North Carolina
License Number 200600844
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According to our database, Dr. David Richey Lane M.D. NPI is 1093744096, taxonomy code is 174400000X and license number is 200600844, license state is located at North Carolina. David Richey Lane M.D. physically located at 420 S Herlong Ave, Rock Hill SC, 29732-1091. NPI Number David Richey Lane M.D. has the Individual type.

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1093744096 NPI number is provided on an as is basis without warranty of any kind. 1093744096 is maintained by the National Plan & Provider Enumeration System. The contents of David Richey Lane M.D. are for informational purposes only.