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Individual
LANE SCOTT VAN SICKLE
Active
Individual
LANE SCOTT VAN SICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
71019409A
IN
363LF0000X
Family Nurse Practitioner
71019409A
IN
363LF0000X
Family Nurse Practitioner
F06260266
IN
Other
Enumeration date
06/24/2026
Last updated
08/27/2026
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