THEODORE W. LANE

FAYETTEVILLE, NC
NPI1023156932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NC  1264)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
-- THEODORE W. LANE Ph.D.
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303-5510
Phone number: 910-867-8889
Mailing Address
-- THEODORE W. LANE Ph.D.
1100 E CONNECTICUT AVE
SOUTHERN PINES, NC 28387-6719
Phone number: 910-692-4624
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