Organization
DML MOBILE ANESTHESIA , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD M. LANE M.D. (PRESIDENT)
(765) 622-8137
Entity
Organization
Contact information
Practice address
321 E WAYNE ST, FORT WAYNE, IN 46802-2713
(260) 424-5656
Mailing address
524 N RILEY RD, MUNCIE, IN 47304-3852
(765) 284-1590
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01030689A
IN
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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