TIMOTHY GERALD LANE

KISSIMMEE, FL
NPI1568850543
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: FL  ME43204)
Enumeration Date2014-12-29
Last Update Date2014-12-29
Business Address
Dr. TIMOTHY GERALD LANE M.D., Ph.D.
1393 GRANDVIEW BLVD
KISSIMMEE, FL 34744-6611
Phone number: 321-591-9229
Mailing Address
Dr. TIMOTHY GERALD LANE M.D., Ph.D.
1393 GRANDVIEW BLVD
KISSIMMEE, FL 34744-6611
Phone number: 321-591-9229
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