MEDICARE: DR. FRANK B LANE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0000X	Hematology (Internal Medicine) Physician	ME12971	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	830008569	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	29759	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1447240775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK B LANE MD

Provider Business Mailing Address
First Line	:	PO BOX 18372
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33679-8372
Country	:	US
Telephone Number	:	813-872-0702
Fax Number	:	813-876-0997

Provider Business Practice Location Address
First Line	:	2605 W SWANN AVE
Second Line	:	SUITE 400
City	:	TAMPA
State	:	FL
Zip	:	33609-4039
Country	:	US
Telephone Number	:	813-872-0702
Fax Number	:	813-876-0997

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	02/26/2010

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