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Individual
ROBERT C LANE
Active
Individual
ROBERT C LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C4350
AR
207Q00000X
Family Medicine Physician
Primary
C4350
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02113
CIGNA
AR
05
—
102785001
—
AR
01
—
13676000000
QUALCHOICE
—
01
—
53039
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/24/2006
Last updated
04/03/2012
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