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1649232034
ADRIAN K LANE
JACKSONVILLE, FL
NPI
1649232034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101255)
Enumeration Date
2006-04-03
Last Update Date
2007-12-06
Business Address
Mr. ADRIAN K LANE PA
655 W 8TH ST UFJP ORTHOPEDICS DEPT
JACKSONVILLE, FL 32209-6511
Phone number: 904-393-3984
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Mailing Address
Mr. ADRIAN K LANE PA
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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