Individual
LANE T HANDKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E MAIN ST, PIERCE, NE 68767-1314
(402) 329-4195
(402) 329-4197
Mailing address
215 E MAIN ST, PO BOX 67, PIERCE, NE 68767-1314
(402) 329-4195
(402) 329-4197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18066
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025917400
—
NE
01
—
45540
BCBS OF NEBRASKA
—
01
—
NA1140005
MEDICARE
NE
Enumeration date
09/29/2005
Last updated
03/10/2017
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