| Organization Name: | LANE'S PHARMACY & DME INC |
| NPI Number: | 1306017223 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY LANE (CEO) |
| Mailing Address: | 210 W Main St Ste 3 Colquitt |
| State: | GA US |
| Postal Code: | 398373434 |
| Phone Number: | 2297589111 |
| Fax Number: | 2297589000 |
| NPI Enumeration Date: | 03/19/2008 |
| NPI Last Update Date: | 07/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |