JACOB LANE

DURHAM, NC
NPI1447092358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NC  p23269)
Enumeration Date2024-06-11
Last Update Date2024-06-11
Business Address
JACOB LANE
1019 BROAD ST
DURHAM, NC 27705-4143
Phone number: 919-797-9588
Mailing Address
JACOB LANE
5914 WOODLAWN DRIVE
DURHAM, NC 27703
Phone number:
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