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1639154834
ROGER B LANE
BRUNSWICK, GA
NPI
1639154834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: GA 041451)
Enumeration Date
2005-12-09
Last Update Date
2008-04-29
Business Address
ROGER B LANE M.D.
3011 HAMPTON AVE
BRUNSWICK, GA 31520-4264
Phone number: 912-261-2669
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Mailing Address
ROGER B LANE M.D.
PO BOX 30309
CHARLESTON, SC 29417-0309
Phone number: 843-554-9300
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