Individual
MICHAEL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 WHITEHALL RD, ANESTHESIA DEPARTMENT, ROCHESTER, NH 03867-3226
(603) 335-8419
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12389
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30204438
—
NH
Enumeration date
07/05/2005
Last updated
11/02/2009
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