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Individual
DR. ROBERT DAVID LANE
Active
Individual
DR. ROBERT DAVID LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71014550A
IN
363LA2200X
Adult Health Nurse Practitioner
75862
WV
363LA2200X
Adult Health Nurse Practitioner
R0045798
OK
363LF0000X
Family Nurse Practitioner
75862
WV
363LG0600X
Gerontology Nurse Practitioner
75862
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
252761
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
75862
WV
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
75862
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100848390A
—
OK
05
—
100848390B
—
OK
05
—
1114944683
—
NC
05
—
300083587
—
IN
05
—
7006282
—
NC
05
—
NP2067
—
SC
Enumeration date
07/17/2006
Last updated
09/23/2025
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