Individual
LANE THOMAS BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11344
NH
207R00000X
Internal Medicine Physician
MD22897
ME
208M00000X
Hospitalist Physician
Primary
MD22897
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1966421
CIGNA
NH
01
—
2030699
MAIL HANDLERS/FIRST HEALT
NH
05
—
30201572
—
NH
05
—
317530099
—
ME
01
—
4146689
MVP HEALTHCARE
NH
01
—
5375057
CCN
NH
01
—
7775483
AETNA
NH
01
—
781771
CIGNA NATIONAL
NH
01
—
AA21070
HARVARD PILGRIM
NH
01
—
P00170892
RAIL ROAD MEDICARE
NH
Enumeration date
10/18/2006
Last updated
10/14/2025
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