Individual
LANE SCOTT VAN SICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 FRANCISCAN WAY, MICHIGAN CITY, IN 46360-0033
(219) 879-8511
Mailing address
3500 FRANCISCAN WAY, MICHIGAN CITY, IN 46360-0033
(219) 879-8511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06260266
IN
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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