SAMANTHA JO LANE

CONCORD, NC
NPI1336467075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NC  2016-00938)
Additional Taxonomies208000000X Pediatrics
(Licence: NC  2016-00938)
Enumeration Date2010-05-05
Last Update Date2024-07-15
Business Address
SAMANTHA JO LANE DO
3020 WEDDINGTON RD
CONCORD, NC 28027-8158
Phone number: 704-403-7700
Mailing Address
SAMANTHA JO LANE DO
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: