Individual
DR. FREDERICK ROBERT LANE
Active
Individual
DR. FREDERICK ROBERT LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01037114A
IN
208C00000X
Colon & Rectal Surgery Physician
Primary
01037114
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100128830A
—
IN
Enumeration date
04/17/2006
Last updated
05/18/2023
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