Individual
DR. MICHAEL ANDREW LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
(214) 590-4656
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9087
(214) 590-8000
(314) 362-9851
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
2009023893
MO
207RI0200X
Infectious Disease Physician
Primary
T4199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396893467
—
MO
05
—
ENROLLED
—
IL
Enumeration date
01/08/2007
Last updated
03/09/2022
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