Individual
DR. JOHN EDWARD LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, MAIN BUILDING, PHOENIX, AZ 85016-7710
(602) 933-2311
(602) 933-4269
Mailing address
2108 E THOMAS RD, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
40566
AZ
2080P0202X
Pediatric Cardiology Physician
40566
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
40566
AZ
Other
Enumeration date
11/21/2006
Last updated
06/25/2025
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