MEDICARE: LANE T HANDKE 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	207Q00000X	Family Medicine Physician	18066	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NA1140005	OTHER	NE	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	45540	OTHER		BCBS OF NEBRASKA

General Provider Information

NPI Number	:	1952398570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANE T HANDKE M.D.

Provider Business Mailing Address
First Line	:	215 E MAIN ST
Second Line	:	PO BOX 67
City	:	PIERCE
State	:	NE
Zip	:	68767-1314
Country	:	US
Telephone Number	:	402-329-4195
Fax Number	:	402-329-4197

Provider Business Practice Location Address
First Line	:	215 E MAIN ST
Second Line	:
City	:	PIERCE
State	:	NE
Zip	:	68767-1314
Country	:	US
Telephone Number	:	402-329-4195
Fax Number	:	402-329-4197

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	03/10/2017

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Directions to “ LANE T HANDKE M.D.” Practice Location

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