Individual
DR. RICHARD J LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 936-1616
(239) 936-0837
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING AND RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME62328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0380023
CIGNA
FL
05
—
039651600
—
FL
01
—
203877
AVMED
FL
01
—
36272
BCBS OF FL
FL
01
—
4129694
AETNA
FL
01
—
P01283319
RAILROAD MCR
FL
01
—
P303956
FREEDOM HEALTH
FL
01
—
P952205
OPTIMUM
FL
Enumeration date
02/22/2006
Last updated
05/07/2014
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