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1083799548
JENNIFER LANE
CHARLOTTE, NC
NPI
1083799548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NC 9600601)
Enumeration Date
2006-10-25
Last Update Date
2019-09-19
Business Address
JENNIFER LANE MD
251 EASTWAY DR
CHARLOTTE, NC 28213-7103
Phone number: 704-446-9991
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Mailing Address
JENNIFER LANE MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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