Individual
DAVID R LANE
Active
Individual
DAVID R LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
035384
DC
207P00000X
Emergency Medicine Physician
Primary
ME138099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037155800
—
DC
05
—
037742200
—
DC
05
—
409124800
—
MD
01
—
75859902
BLUE SHIELD
MD
01
—
J8790001
BLUE SHIELD
DC
01
—
P00262789
RAILROAD MED
DC
Enumeration date
09/15/2006
Last updated
08/01/2021
Update your record
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