Lane, Robert David

Lane, Robert David is an individual health care provider with primary practice located at 720 Eskenazi Ave , Indianapolis IN 46202-5187. He recently has 6 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Lane, Robert David can be contacted via phone (317) 880-7666.

Contact Information

Primary practice address
720 Eskenazi Ave Indianapolis IN 46202-5187
Phone: (317) 880-7666
Fax: (317) 880-0448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 75862 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R0045798 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 75862 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71014550A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 75862 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 75862 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 252761 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 75862 West Virginia

Profile Details

NPI number 1114944683
LBN Legal business name Lane, Robert David
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Sep 23rd, 2025 - about last year

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 1114944683 NPPES
Indiana MEDICAID 300083587
Indiana MEDICAID 100848390A
Indiana MEDICAID 7006282
Indiana MEDICAID 100848390B
Indiana MEDICAID 1114944683
Indiana MEDICAID NP2067

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