Individual
DR. DAVID ALLEN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE ROAD, HEADQUARTERS UNIT, TRIPLER ARMY MEDICAL CENTER, HONOLULU, HI 96859-5000
(808) 433-5781
Mailing address
1 JARRETT WHITE ROAD, HEADQUARTERS UNIT, TRIPLER ARMY MEDICAL CENTER, HONOLULU, HI 96859-5000
(808) 433-5781
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
MD-051174-L
PA
207Q00000X
Family Medicine Physician
MD-051174-L
PA
Other
Enumeration date
08/10/2005
Last updated
02/08/2010
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