Lane, Lisa C
Lane, Lisa C is an individual health care provider with primary practice located at 6422 E Speedway Blvd Ste 100 , Tucson AZ 85710-1151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Lane, Lisa C can be contacted via phone (520) 327-3487.Contact Information
Primary practice address
6422 E Speedway Blvd Ste 100
Tucson AZ 85710-1151
Phone: (520) 327-3487
Fax: (520) 327-3488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 33982 | Arizona |
Profile Details
| NPI number | 1801877014 |
|---|---|
| LBN Legal business name | Lane, Lisa C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Feb 13th, 2008 - about 18 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 | 1801877014 | NPPES |
| Arizona | MEDICAID | 932667 |
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