Individual
MR. BENNETT HARRISON LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 GOODMAN ST, CENTER FOR EMERGENCY CARE, CINCINNATI, OH 45219-2364
(513) 558-8114
(513) 558-5791
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 245-3613
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.141417
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226329
—
OH
Enumeration date
03/23/2017
Last updated
06/11/2021
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