Lane, Timothy Walter
Lane, Timothy Walter is an individual health care provider with primary practice located at 301 E Wendover Ave Suite 111, Greensboro NC 27401-1230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Lane, Timothy Walter can be contacted via phone (336) 832-7840.Contact Information
Primary practice address
301 E Wendover Ave Suite 111
Greensboro NC 27401-1230
Phone: (336) 832-7840
Fax: (336) 832-3285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22588 | North Carolina |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 22588 | North Carolina |
Profile Details
| NPI number | 1790722544 |
|---|---|
| LBN Legal business name | Lane, Timothy Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Dec 11th, 2012 - about 14 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 | 1790722544 | NPPES |
| North Carolina | Other | 26776 | MEDCOST |
| North Carolina | Other | 50794 | MEDCOST |
| North Carolina | Other | 3595 | MEDCOST |
| North Carolina | MEDICAID | 8950794 | MEDCOST |
| North Carolina | Other | 4316181 | MEDCOST |
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