STEPHANIE BREANNE LANE

LILLINGTON, NC
NPI1992307623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-10714)
Enumeration Date2020-11-09
Last Update Date2020-11-09
Business Address
STEPHANIE BREANNE LANE PA
40 AUTUMN FERN TRL
LILLINGTON, NC 27546-5155
Phone number: 910-364-0971
Mailing Address
STEPHANIE BREANNE LANE PA
40 AUTUMN FERN TRL
LILLINGTON, NC 27546-5155
Phone number:
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