Healthcare Provider Details

I. General information

NPI: 1497883680
Provider Name (Legal Business Name): LANE'S TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7727 GREYMONT ST
LANDOVER MD
20785-4139
US

IV. Provider business mailing address

501 DOBBIN CT
ACCOKEEK MD
20607-2037
US

V. Phone/Fax

Practice location:
  • Phone: 301-322-8129
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number526
License Number StateDC

VIII. Authorized Official

Name: MR. JOSEPH LANE JR.
Title or Position: OWNER
Credential:
Phone: 301-322-8129