Lane, Martha Rae

Lane, Martha Rae is an individual health care provider with primary practice located at 35 Medical Center Pkwy Ste 201, Augusta ME 04330-8160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lane, Martha Rae can be contacted via phone (207) 622-1959.

Contact Information

Primary practice address
35 Medical Center Pkwy Ste 201 Augusta ME 04330-8160
Phone: (207) 622-1959
Fax: (207) 430-4007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 016108 Maine

Profile Details

NPI number 1881635456
LBN Legal business name Lane, Martha Rae
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 18th, 2016 - about 8 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 1881635456 NPPES
Maine MEDICAID 263570099

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