Physician Compare National (NPI:1881651198)

HEALTHCARE PROVIDER: LANE STANFORD WRIGHT DC CCEP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881651198
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042305625
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070927000161
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WRIGHT
	Individual professional last name
Provider First Name	LANE
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WESTERN STATES COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1100 N COLE RD
	Group Practice or individual's line 1 address
City	BOISE
	Group Practice or individual's city
State	ID
	Group Practice or individual's state
Zip Code	837048644
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2083753500
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y