Individual
DR. THOMAS W. LANE
Active
Individual
DR. THOMAS W. LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005998L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15563000
MAGELLAN PROVIDER #
PA
01
—
50016329
CAPITAL BLUE CROSS IND
PA
01
—
50016330
CAPITAL BLUE CROSS-GROUP
PA
01
—
550010003484
PACIFICARE
PA
01
—
LA669551
BLUE SHIELD PROVIDER #
PA
01
—
P3179629
OXFORD PROVIDER #
PA
Enumeration date
03/30/2007
Last updated
07/08/2007
Update your record
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