person
Dr. Henderson Michael Lane, MD
General Practice Physician in Columbia, South Carolina
NPI 1821181157

Henderson Michael Lane is a General Practice Physician based in Columbia, SC. Henderson Michael Lane practices in Columbia, SC and has the professional credentials of MD. The NPI Number for Henderson Michael Lane is 1821181157 and holds a License No. 14222 (South Carolina).

The current practice location address for Henderson Michael Lane is 4500 Stuart St, Columbia, SC and can be reached out via phone at 803-751-2618 and via fax at 803-751-2689. You can also correspond with Henderson Michael Lane through the mailing address at 4500 STUART ST, COLUMBIA, SC - 29207-5700 (mailing address contact number: 803-751-2618).

Location: 4500 Stuart St, Columbia, SC, 29207-5700
person
Provider Profile Details
NPI Number
1821181157
Provider Name
Henderson Michael Lane
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4500 Stuart St, Columbia, SC, 29207-5700
Phone Number
803-751-2618
Fax Number
803-751-2689
Provider Enumeration Date
09/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4500 Stuart St
City
State
Zip
29207-5700
Phone Number
803-751-2618
Fax Number
803-751-2689
person
Provider Business Mailing Address Details
Address
4500 Stuart St
City
State
Zip
29207-5700
Phone Number
803-751-2618
Fax Number
803-751-2689
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
14222 (South Carolina)
Definition
Definition to come...
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