MEDICARE: LANE R BIGLER 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	207N00000X	Dermatology Physician	23211	AZ
2	207ND0900X	Dermatopathology Physician	23211	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	070010426	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0375480	OTHER	AZ	BCBS OF AZ
3	4579023	OTHER	AZ	AETNA
4	2Z2465	OTHER	AZ	HEALTH NET

General Provider Information

NPI Number	:	1962451146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANE R BIGLER MD

Provider Business Mailing Address
First Line	:	6832 E BROWN ROAD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85207-3755
Country	:	US
Telephone Number	:	480-830-8333
Fax Number	:	480-830-8390

Provider Business Practice Location Address
First Line	:	6832 E BROWN ROAD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85207-3755
Country	:	US
Telephone Number	:	480-830-8333
Fax Number	:	480-830-8390

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

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	10/29/2012

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Directions to “ LANE R BIGLER MD” Practice Location

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