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Individual

LEWIS B LANE

Active
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Individual

LEWIS B LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
124329
NY
207XS0106X
Orthopaedic Hand Surgery Physician
124329
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200008041
MEDICARE ID
NY
01
AS1071
OXFORD
Enumeration date
06/07/2006
Last updated
08/01/2012
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