Individual
RICHARD ALLAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH & TM
Contact information
Practice address
1971 UNIVERSITY BLVD, LYNCHBURG, VA 24502-2269
(434) 582-2514
(434) 455-0966
Mailing address
1204 FENWICK DRIVE, LYNCHBURG, VA 24502-2112
(434) 200-3656
(434) 200-3650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01011043860
VA
207Q00000X
Family Medicine Physician
Primary
0101043860
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005623308
—
VA
Enumeration date
10/07/2005
Last updated
11/15/2010
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