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NPI Code Detail

MEDICARE: DR. LANE MICHAEL MEYER M.D.

MEDICARE: DR. LANE MICHAEL MEYER 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
1207VX0000XObstetrics Physician39154MN

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 : 1689779464
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LANE MICHAEL MEYER M.D.
Provider Business Mailing Address
First Line : 3605 MAYFAIR AVE
Second Line :
City : HIBBING
State : MN
Zip : 55746-2935
Country : US
Telephone Number : 218-262-3441
Fax Number :
Provider Business Practice Location Address
First Line : 3605 MAYFAIR AVE
Second Line : FAIRVIEW UNIVERSITY MEDICAL CENTER MESABI
City : HIBBING
State : MN
Zip : 55746-2923
Country : US
Telephone Number : 218-262-4881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 03/07/2023

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