Lane, Leo William
Lane, Leo William is an sole proprietor health care provider with primary practice located at 421 Merrimack St Suite 201, Methuen MA 01844-5803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lane, Leo William can be contacted via phone (978) 725-4822.Contact Information
Primary practice address
421 Merrimack St Suite 201
Methuen MA 01844-5803
Phone: (978) 725-4822
Fax: (978) 725-5277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 155341 | Massachusetts |
Profile Details
| NPI number | 1770570426 |
|---|---|
| LBN Legal business name | Lane, Leo William |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Nov 22nd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770570426 | NPPES |
| New Hampshire | Other | 0400810YPMA01 | ANTHEM BCBS |
| New Hampshire | Other | 2301962 | ANTHEM BCBS |
| New Hampshire | Other | J21428 | ANTHEM BCBS |
| New Hampshire | MEDICAID | 3208621 | ANTHEM BCBS |
| New Hampshire | Other | 49241 | ANTHEM BCBS |
| New Hampshire | Other | 50493 | ANTHEM BCBS |
| New Hampshire | Other | 043549868 | ANTHEM BCBS |
| New Hampshire | Other | 504290 | ANTHEM BCBS |
| New Hampshire | Other | 504290 | ANTHEM BCBS |
| New Hampshire | Other | 69499 | ANTHEM BCBS |
| New Hampshire | Other | 043549868 | ANTHEM BCBS |
| New Hampshire | Other | 043549868 | ANTHEM BCBS |
| New Hampshire | Other | 155341 | ANTHEM BCBS |
| New Hampshire | Other | 2301962 | ANTHEM BCBS |
| New Hampshire | Other | 9593735010 | ANTHEM BCBS |
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