Individual
LEWIS B LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 NORTHERN BLVD, SUITE 200, GREAT NECK, NY 11021-5207
(516) 723-2663
(516) 325-7190
Mailing address
PO BOX 5200, MANHASSET, NY 11030-5200
(516) 723-2663
(516) 325-7190
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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