Individual
DR. MINDY KATHRYN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02008209A
IN
208600000X
Surgery Physician
5101013104
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02008209A
IN LICENSE
IN
01
—
02008209B
CSR
IN
01
—
0M21440055
MEDICARE PLUS BLUE
MI
01
—
1020388
CURANET
MI
01
—
200000002269
PHP
MI
05
—
4311822
—
MI
05
—
4911173
—
MI
01
—
P00456403
RAILROAD MEDICARE
MI
Enumeration date
11/02/2005
Last updated
01/14/2025
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