Rosen, Lane Randall

Rosen, Lane Randall is an individual health care provider with primary practice located at 2600 Kings Hwy , Shreveport LA 71103-3950. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Rosen, Lane Randall can be contacted via phone (318) 212-4639.

Contact Information

Primary practice address
2600 Kings Hwy Shreveport LA 71103-3950
Phone: (318) 212-4639
Fax: (318) 212-8305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 022004 Louisiana
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 022004 Louisiana

Profile Details

NPI number 1831119197
LBN Legal business name Rosen, Lane Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 18th, 2007 - about 19 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 1831119197 NPPES
Louisiana MEDICAID 1697192

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