Lane, Gary E
Lane, Gary E is an individual health care provider with primary practice located at 1925 E Orman Ave Suite A109, Pueblo CO 81004-3537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lane, Gary E can be contacted via phone (719) 564-0210.Contact Information
Primary practice address
1925 E Orman Ave Suite A109
Pueblo CO 81004-3537
Phone: (719) 564-0210
Fax: (719) 564-9483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35242 | Colorado |
Profile Details
| NPI number | 1841282498 |
|---|---|
| LBN Legal business name | Lane, Gary E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Mar 17th, 2014 - about 10 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 | 1841282498 | NPPES |
| Colorado | MEDICAID | 01352426 |
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