Individual
DR. STEPHEN K LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
56 NEW DRIFTWAY, SUITE 301, SCITUATE, MA 02066-4533
(781) 544-1388
(781) 544-3396
Mailing address
56 NEW DRIFTWAY, SUITE 301, SCITUATE, MA 02066-4533
(781) 544-1388
(781) 544-3396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203507
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103663
UNITED
—
05
—
0127311
—
MA
01
—
203507
TUFTS
—
01
—
2459036
CIGNA
—
01
—
710899
HPHC
MA
01
—
J23581
BCBS
MA
Enumeration date
11/04/2005
Last updated
07/19/2010
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