Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TANDA NICHOLE LANE, M.D.
ActiveDR. TANDA NICHOLE LANE, M.D. is a Procedural Dermatology healthcare provider located in COLUMBUS, Georgia. NPI 1891824108 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · COLUMBUS, GA
Registration Details
- NPI Number
- 1891824108
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2007 (19.457940827347 yrs)
- Last Updated
- Mar 27, 2012
- License
-
000893 (GA)
Practice Information
- Address
-
1210 BROOKSTONE CENTRE PKWYCOLUMBUS, GA, 319042954Browse GA providers · Browse ZIP 31904
- Phone
- 7063221717
- Fax
- 7063221718
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.