Individual
MR. JOHN FRANCIS LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
222 SCOTTSDALE DR, ADVANCE, NC 27006-6959
(336) 806-4020
Mailing address
222 SCOTTSDALE DR, ADVANCE, NC 27006-6959
(336) 806-4020
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
175511
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051554
—
NC
01
—
P00299562
MEDICARE RAILROAD
NC
Enumeration date
08/03/2006
Last updated
08/29/2007
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