Healthcare Provider Details

I. General information

NPI: 1033478565
Provider Name (Legal Business Name): LUCY MAGCALAS LANE M.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2012
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 BEEKMAN ST
PLATTSBURGH NY
12901-1438
US

IV. Provider business mailing address

16 DEGRANDPRE WAY STE 600
PLATTSBURGH NY
12901-6454
US

V. Phone/Fax

Practice location:
  • Phone: 518-562-7500
  • Fax:
Mailing address:
  • Phone: 518-563-0490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number042.0014524
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number306496
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: