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1578965208
RANDY E. LANE
ALBANY, GA
NPI
1578965208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-09-25
Last Update Date
2017-01-19
Business Address
-- RANDY E. LANE PA
2311 LAKE PARK DR
ALBANY, GA 31707-3183
Phone number: 229-435-0525
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Mailing Address
-- RANDY E. LANE PA
PO BOX 71367
ALBANY, GA 31708-1367
Phone number: 229-435-0525
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