Dr. Tara Lane, M.D.
Internal Medicine in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1083001036
StatusActive
Last updated in NPPESJun 10, 2026
Details
- NPI
- 1083001036
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tara Lane
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2015
- Certification date
- Jun 10, 2026
- Last updated
- Jun 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 83161 | GA | Yes |
| 207RB0002X | Internal Medicine, Bariatric Medicine | 83161 | GA | |
| 208000000X | Pediatrics | 83161 | GA |
Practice location
665 Duluth Hwy Ste 401Lawrenceville, GA 30046-4303
Phone 678-312-0450
Mailing address
665 Duluth Hwy Ste 401Lawrenceville, GA 30046-4303
Other practice locations
2570 Riverside Pkwy
Lawrenceville, GA 30046-3339
Lawrenceville, GA 30046-3339
Phone 770-339-4260
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