Derrick Lane, MD, LLC
Derrick Lane, MD, LLC is a Family Medicine Physician in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2013.
- Licensed in
- GA
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
818 Forsyth StMacon, GA 31201-2139
Phone: (478) 633-7010
Fax: (478) 633-7585
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 052594 (GA) |
|---|
Record details
| NPI number | 1750620191 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Derrick Lane — Owner · (478) 335-1365 |
| NPI enumerated | February 5, 2013 |
| Last updated in NPPES | February 5, 2013 |
| Mailing address | Po Box 28170, Macon, GA 31221-8170 |
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