| Organization Name: | LANE'S PHARMACY & DME INC |
| NPI Number: | 1679567168 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY LANE (CEO) |
| Mailing Address: | 210 W Main St Suite 3 Colquitt |
| State: | GA US |
| Postal Code: | 398373433 |
| Phone Number: | 2297589111 |
| Fax Number: | 2297589000 |
| NPI Enumeration Date: | 09/10/2005 |
| NPI Last Update Date: | 02/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |