Individual
MR. JOHN G LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3750 CONVOY STREET, STE 116, SAN DIEGO, CA 92111
(858) 292-1433
(858) 292-1979
Mailing address
3750 CONVOY STREET, STE 116, SAN DIEGO, CA 92111
(858) 292-1433
(858) 292-1979
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G64552
CA
207X00000X
Orthopaedic Surgery Physician
Primary
G64552
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G64552
CA
Other
Enumeration date
08/31/2006
Last updated
02/03/2017
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