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Individual

DR. DAVID RICHEY LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
200600844
NC
207N00000X
Dermatology Physician
00844
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
00844
NC
207NS0135X
Procedural Dermatology Physician
00844
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2075624
MEDICARE GROUP PTAN
NC
Enumeration date
07/02/2006
Last updated
05/08/2017
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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