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NPI Code Detail

MEDICARE: CHRISTOPHER ALAN LANE DO

MEDICARE: CHRISTOPHER ALAN LANE DO
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
1207V00000XObstetrics & Gynecology Physician05-46905KS
2207V00000XObstetrics & Gynecology Physician3863OK

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 : 1225063647
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER ALAN LANE DO
Provider Business Mailing Address
First Line : PO BOX 258887
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73125-8887
Country : US
Telephone Number : 405-470-6767
Fax Number : 405-470-6768
Provider Business Practice Location Address
First Line : 310 E WALNUT ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5572
Country : US
Telephone Number : 620-275-9752
Fax Number : 620-275-4306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 11/02/2022

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Directions to “ CHRISTOPHER ALAN LANE DO” Practice Location

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