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Organization
RICHARD A. LANE MD PC
Active
Organization
RICHARD A. LANE MD PC
Active
Other names
LAne Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN KENDALL LANE RN (CO-OWNER)
(802) 886-3937
Entity
Organization
Contact information
Practice address
441 RIVER ST, SPRINGFIELD, VT 05156-2222
(802) 886-3937
(802) 886-3167
Mailing address
PO BOX 830, SPRINGFIELD, VT 05156-0830
(802) 886-3937
(802) 886-3167
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1282180001
MEDICARE NSC
—
01
—
180035977
RAILROAD MEDICARE
—
01
—
180045876
RAILROAD MEDICARE
—
05
—
302102 40
—
NH
05
—
OVN1908
—
VT
Enumeration date
02/27/2007
Last updated
10/17/2008
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