NOAH ALEXANDER FRED LANE

SUWANEE, GA
NPI1790422335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2022-05-16
Last Update Date2022-05-16
Business Address
NOAH ALEXANDER FRED LANE
2576 LAWRENCEVILLE SUWANEE RD STE 101
SUWANEE, GA 30024-7291
Phone number: 770-962-4043
Mailing Address
NOAH ALEXANDER FRED LANE
2576 LAWRENCEVILLE SUWANEE RD STE 101
SUWANEE, GA 30024-7291
Phone number: 770-962-4043
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