DERRICK F LANE

MACON, GA
NPI1124079447
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  052594)
Enumeration Date2006-05-12
Last Update Date2011-01-11
Business Address
-- DERRICK F LANE M.D.
818 FORSYTH STREET
MACON, GA 31201-2139
Phone number: 478-633-7010
Mailing Address
-- DERRICK F LANE M.D.
P.O. BOX 28170
MACON, GA 31221-8170
Phone number: 478-254-5943
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