Lane, Cornelius William
Lane, Cornelius William is an individual health care provider with primary practice located at 3280 Professional Dr Suite A, Auburn CA 95602-2491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lane, Cornelius William can be contacted via phone (530) 887-0646.Contact Information
Primary practice address
3280 Professional Dr Suite A
Auburn CA 95602-2491
Phone: (530) 887-0646
Fax: (530) 885-2180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G25743 | California |
Profile Details
| NPI number | 1619991056 |
|---|---|
| LBN Legal business name | Lane, Cornelius William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619991056 | NPPES |
| California | MEDICAID | 00G257430 |
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