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1265144554
DARA ELISABETH LANE
SPARTANBURG, SC
NPI
1265144554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 26958)
Enumeration Date
2022-12-19
Last Update Date
2024-05-01
Business Address
DARA ELISABETH LANE NP
853 N CHURCH ST STE 701
SPARTANBURG, SC 29303-3003
Phone number: 864-560-1600
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Mailing Address
DARA ELISABETH LANE NP
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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