Individual
DR. DAVID E LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 J CLYDE MORRIS BLVD, RIVERSIDE REGIONAL MEDICAL CENTER, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 766-9737
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102201443
VA
207L00000X
Anesthesiology Physician
2406
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000216
—
IA
Enumeration date
06/28/2006
Last updated
02/25/2015
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