Lane, David L

Lane, David L is an individual health care provider with primary practice located at Building 160 Dogwood Avenue , Mountain Home TN 37684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lane, David L can be contacted via phone (423) 926-1171.

Contact Information

Primary practice address
Building 160 Dogwood Avenue Mountain Home TN 37684
Phone: (423) 926-1171
Fax: (423) 979-3507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD11896 Tennessee

Profile Details

NPI number 1114979440
LBN Legal business name Lane, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114979440 NPPES
Tennessee Other MD0000011896 STATE LICENSE
Tennessee Other 0101028936 STATE LICENSE

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