Individual
PHILIP E LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-0000
(770) 277-3056
(855) 204-5244
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101245701
VA
207L00000X
Anesthesiology Physician
036-051264
IL
207L00000X
Anesthesiology Physician
070468
GA
207L00000X
Anesthesiology Physician
D80354
MD
207L00000X
Anesthesiology Physician
V6806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137111A
—
GA
05
—
036-051264
—
IL
Enumeration date
07/15/2006
Last updated
04/20/2026
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