Individual
NICHOLAS C LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8102 WELLNESS WAY, MADISON, WI 53719-8800
(608) 417-8777
Mailing address
8102 WELLNESS WAY, MADISON, WI 53719-8800
(608) 825-3008
(608) 825-3794
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42321-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255300935
—
WI
Enumeration date
03/16/2006
Last updated
06/24/2024
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