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Individual
LANE B DONALDSON
Active
Individual
LANE B DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
NULL
207Y00000X
Otolaryngology Physician
036178799
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
06/23/2016
Last updated
06/11/2026
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