STEPHEN FULLER LANE

GREENVILLE, SC
NPI1487697413
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: SC  16474)
Enumeration Date2006-06-14
Last Update Date2018-01-31
Business Address
STEPHEN FULLER LANE MD
67 CREEKSIDE PARK CT
GREENVILLE, SC 29615-4810
Phone number: 864-242-4602
Mailing Address
STEPHEN FULLER LANE MD
1 INDEPENDENCE PT STE 212
GREENVILLE, SC 29615-4536
Phone number: 864-797-6308
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