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
Phone: (317) 528-2270
Fax: (317) 528-2286
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376507103 | NPPES |
Indiana | MEDICAID | 100128830A |
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