Individual
DR. BRANDON COLE LANE
Active
Individual
DR. BRANDON COLE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01084142A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017247A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039821
—
IN
Enumeration date
06/25/2013
Last updated
05/06/2022
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