Jacob S Lane, DO - Charleston, SC

Jacob S Lane, DO

Student in an Organized Health Care Education/Training Program in Charleston, South Carolina

NPI 1558999383

Jacob S Lane is a Student in an Organized Health Care Education/Training Program based in Charleston, SC. Jacob S Lane practices in Charleston, SC and has the professional credentials of DO. The NPI Number for Jacob S Lane is 1558999383 and holds a License No. 89713 (South Carolina).

The current practice location address for Jacob S Lane is 169 Ashley Ave Rm 202, Charleston, SC and can be reached out via phone at 843-792-3298.

Location: 169 Ashley Ave Rm 202, Charleston, SC, 29425-7538

NPI Number

1558999383

Provider Name

Jacob S Lane

Credential

Provider Entity Type

Individual

Gender

Male

Address

169 Ashley Ave Rm 202, Charleston, SC, 29425-7538

Phone Number

843-792-3298

Fax Number

Provider Enumeration Date

03/28/2020

Last Update Date

03/10/2024

Address

169 Ashley Ave Rm 202

City

Charleston

State

South Carolina

Zip

29425-7538

Phone Number

843-792-3298

Fax Number

Address

169 Ashley Ave Rm 202

City

Charleston

State

South Carolina

Zip

29425-7538

Phone Number

843-792-3298

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Internal Medicine

Speciality

Nephrology

Taxonomy

207RN0300X

License No.

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Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

89713 (South Carolina)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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