Lane, Paul Dolphous

Lane, Paul Dolphous is an individual health care provider with primary practice located at 3527 N Valdosta Rd , Valdosta GA 31602-6418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lane, Paul Dolphous can be contacted via phone (229) 247-2290.

Contact Information

Primary practice address
3527 N Valdosta Rd Valdosta GA 31602-6418
Phone: (229) 247-2290
Fax: (229) 247-0091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 003121 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME115924 Florida

Profile Details

NPI number 1124280862
LBN Legal business name Lane, Paul Dolphous
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Jun 26th, 2014 - about 11 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 1124280862 NPPES
Florida Other 5608789 AETNA
Florida MEDICAID 008920900 AETNA
Florida Other I4Q3R AETNA

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