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1477068716
DANIEL SCOTT LANE
FAYETTEVILLE, NC
NPI
1477068716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-12-08
Last Update Date
2017-12-08
Business Address
DANIEL SCOTT LANE
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-4000
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Mailing Address
DANIEL SCOTT LANE
306 W J ST
ERWIN, NC 28339-1428
Phone number: 910-988-7599
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