Individual
WILLIAM M LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41119-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114168421
—
MI
05
—
30092600
—
WI
01
—
930076759
MEDICARE RAILROAD
WI
01
—
930079988
MEDICARE RAILROAD
WI
Enumeration date
07/10/2006
Last updated
05/14/2008
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