Lane, Mary Alice-Sparks

Lane, Mary Alice-Sparks is an individual health care provider with primary practice located at 1000 Waterman Way , Tavares FL 32778-5266. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Lane, Mary Alice-Sparks can be contacted via phone (352) 742-3578.

Contact Information

Primary practice address
1000 Waterman Way Tavares FL 32778-5266
Phone: (352) 742-3578
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME106438 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME106438 Florida

Profile Details

NPI number 1922325794
LBN Legal business name Lane, Mary Alice-Sparks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2010
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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