| Doctor Name: | MARY B LANE |
| NPI Number: | 1033105291 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 32508 |
| Business Practice Address: | 295 W 27th St Lumberton, NC - 283583016 |
| Business Phone Number: | 9107395550 |
| Business Fax Number: | 9107393550 |
| Mailing Address: | 295 W 27th St, LUMBERTON |
| State: | NC |
| Postal Code: | 283583016 |
| Phone Number: | 9107395550 |
| Fax Number: | 9107393550 |
| NPI Enumeration Date: | 09/23/2005 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 32508 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |