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Individual

STEVEN E LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19 WOODLAND ST, SUITE 35, HARTFORD, CT 06105-2372
(860) 525-1234
(860) 278-8782
Mailing address
19 WOODLAND ST, SUITE 47, HARTFORD, CT 06105-2372
(860) 525-4005
(860) 525-4839

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
028814
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004260727
AETNA
05
001288142
CT
01
00128814203
ANTHEM BCBS
01
010028814CT01
ANTHEM BCBS
01
060052223
RAILROAD MEDICARE
01
2083428
AETNA
01
727454
CONNECTICARE
CT
01
D09433167
TRICARE/CHAMPUS
01
HA8595
OXFORD
CT
Enumeration date
08/30/2005
Last updated
05/16/2013
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