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1265464366
BENNIE W. LANE
DALLAS, TX
NPI
1265464366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: TX D4190)
Enumeration Date
2006-07-07
Last Update Date
2008-02-07
Business Address
-- BENNIE W. LANE MD
7777 FOREST LANE #A 214
DALLAS, TX 75230-0000
Phone number: 972-566-7860
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Mailing Address
-- BENNIE W. LANE MD
7777 FOREST LANE #A 214
DALLAS, TX 75230-0000
Phone number: 972-566-7860
Copy
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