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NPI Code Detail

MEDICARE: DR. STEVE HOWARD LANE PHARM.D.

MEDICARE: DR. STEVE HOWARD LANE PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist8880TN

General Provider Information

NPI Number : 1518086784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVE HOWARD LANE PHARM.D.
Provider Business Mailing Address
First Line : 404 GREEN VALLEY DR
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-1372
Country : US
Telephone Number : 423-282-2914
Fax Number : 423-926-5571
Provider Business Practice Location Address
First Line : 525 N STATE OF FRANKLIN RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-8213
Country : US
Telephone Number : 423-926-6154
Fax Number : 423-926-5571
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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