Individual
MICHAEL W. LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5035 W. 71ST ST., STE E, INDIANAPOLIS, IN 46228
(317) 291-0100
(317) 291-2501
Mailing address
1515 N STATE ST, GREENFIELD, IN 46140
(317) 467-4300
(317) 467-4302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
44281
TN
208100000X
Physical Medicine & Rehabilitation Physician
0101235883
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01066599A
IN
Other
Enumeration date
03/28/2006
Last updated
11/05/2010
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