Individual
DR. LEO WILLIAM LANE
Active
Individual
DR. LEO WILLIAM LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155341
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400810YPMA01
ANTHEM BCBS
NH
01
—
043549868
UNITED HEALTH
MA
01
—
155341
TUFTS
MA
01
—
2301962
AETNA US HEALTH
MA
05
—
3208621
—
MA
01
—
49241
FALLON
MA
01
—
504290
CIGNA HEALTHSOURCE
MA
01
—
50493
MATTHEW THORNTON
MA
01
—
69499
HARVARD PILGRIM
MA
01
—
9593735010
CIGNA
MA
01
—
J21428
BCBS MA
MA
Enumeration date
09/27/2005
Last updated
11/22/2011
Update your record
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