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1477742658
LESLIE ALLEN LANE
CHARLESTON, SC
NPI
1477742658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC 2985)
Enumeration Date
2007-10-23
Last Update Date
2014-09-11
Business Address
Mrs. LESLIE ALLEN LANE CPNP
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
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Mailing Address
Mrs. LESLIE ALLEN LANE CPNP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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