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NPI Code Detail

MEDICARE: DEBRA A LANE MD

MEDICARE: DEBRA A 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
1207Q00000XFamily Medicine Physician01056226AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740231646
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA A LANE MD
Provider Business Mailing Address
First Line : 9615 E 148TH ST STE 1
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-4371
Country : US
Telephone Number : 317-587-1254
Fax Number : 317-674-0060
Provider Business Practice Location Address
First Line : 2506 WILLOWBROOK PKWY STE 300
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-1500
Country : US
Telephone Number : 317-574-1254
Fax Number : 317-674-0060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 12/31/2025

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Directions to “ DEBRA A LANE MD” Practice Location

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