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Individual
ROBERT EARL LANE
Active
Individual
ROBERT EARL LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101046348
VA
207Q00000X
Family Medicine Physician
Primary
18327
NC
207Q00000X
Family Medicine Physician
21380
SC
207Q00000X
Family Medicine Physician
MD010642
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012678
UNITED HEALTHCARE
—
01
—
10839
CIGNA
—
01
—
156394
TRIGON
—
01
—
239694
OPTIMUM CHOICE
—
01
—
339694
MAMSI
—
01
—
50785
BLUE CROSS BLUE SHIELD
—
01
—
78190
MEDCOST
—
05
—
89-50785
—
NC
Enumeration date
08/30/2005
Last updated
08/26/2010
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