JEFFERY DALE LANE

LUMBERTON, NC
NPI1104129139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  176399)
Enumeration Date2010-12-14
Last Update Date2010-12-14
Business Address
-- JEFFERY DALE LANE CRNA
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-671-5000
Mailing Address
-- JEFFERY DALE LANE CRNA
5210 MCLEOD RD
LUMBERTON, NC 28358-8509
Phone number: 910-671-3671
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