Lane, Frederick Robert

Lane, Frederick Robert is an individual health care provider with primary practice located at 5255 E Stop 11 Rd Ste 250 , Indianapolis IN 46237-6343. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Lane, Frederick Robert can be contacted via phone (317) 528-2270.

Contact Information

Primary practice address
5255 E Stop 11 Rd Ste 250 Indianapolis IN 46237-6343
Fax: (317) 528-2286
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01037114A Indiana
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 01037114 Indiana

Profile Details

NPI number 1376507103
LBN Legal business name Lane, Frederick Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated May 18th, 2023 - about 2 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 1376507103 NPPES
Indiana MEDICAID 100128830A

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