Lane, David Richey

Lane, David Richey is an sole proprietor health care provider with primary practice located at 15830 Ballantyne Medical Place Ste 225, Charlotte NC 28277-3294. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Lane, David Richey can be contacted via phone (704) 919-1105.

Contact Information

Primary practice address
15830 Ballantyne Medical Place Ste 225 Charlotte NC 28277-3294
Phone: (704) 919-1105
Fax: (704) 910-3163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200600844 North Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 00844 North Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 00844 North Carolina
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 00844 North Carolina

Profile Details

NPI number 1093744096
LBN Legal business name Lane, David Richey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2006
Last updated May 8th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093744096 NPPES
North Carolina Other 2075624 MEDICARE GROUP PTAN

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