# GEORGE W LANE SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740227032
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 03064025 | IL | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 06/24/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036064025 | — | IL |
| 01 | — | 050053 | HEALTH ALLIANCE | IL |
| 01 | — | 148547 | HEALTHLINK | IL |
| 01 | — | 200041572 | RR MEDICARE | IL |
| 01 | — | 4281670001 | DME | IL |
| 01 | — | 7230175 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | IL0102 | JOHN DEERE | IL |