MEDICARE: DR. ROBERT ARTHUR LALANE III M.D.

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	207W00000X	Ophthalmology Physician	ME137441	FL
2	207W00000X	Ophthalmology Physician	A125917	CA
3	207W00000X	Ophthalmology Physician	MMD.40497	SC
4	207W00000X	Ophthalmology Physician	077488	GA
5	207WX0107X	Retina Specialist (Ophthalmology) Physician	ME137441	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548553431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ARTHUR LALANE III M.D.

Provider Business Mailing Address
First Line	:	6333 N FEDERAL HWY STE 300
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-1909
Country	:	US
Telephone Number	:	954-776-6880
Fax Number	:	954-776-6895

Provider Business Practice Location Address
First Line	:	6333 N FEDERAL HWY STE 300
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-1909
Country	:	US
Telephone Number	:	954-776-6880
Fax Number	:	954-776-6895

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

Provider Enumeration Date	:	05/25/2011
Last Update Date	:	07/14/2021

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