LANE DERMATOLOGIC SURGERY CENTER LLC NPI 1922392364

NPI Information

NPI: 1922392364
Provider Name: LANE DERMATOLOGIC SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D1069247

Address:
1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA
ZIP 31904
Phone: (706) 322-1717
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LANE DERMATOLOGIC SURGERY CENTER, LLC is an ambulatory surgical clinic center in Columbus, GA. LANE DERMATOLOGIC SURGERY CENTER, LLC NPI is 1922392364. The provider is registered as an organization entity type.

The provider's business location address is:

1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA
ZIP 31904-954
Phone: (706) 322-1717
Fax: (706) 322-1718

The provider's authorized official is Joshua Edward Lane .
The authorized official title is Provider/president and has the following contact phone number (706) 322-1717.

The CLIA number assigned to this NPI record is 11D1069247 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/2/2011 and was last updated on 3/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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