Lane, George W

Lane, George W is an individual health care provider with primary practice located at 5401 N Knoxville Ave Suite 400, Peoria IL 61614-5098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lane, George W can be contacted via phone (309) 692-6644.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 400 Peoria IL 61614-5098
Phone: (309) 692-6644
Fax: (309) 692-8992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 03064025 Illinois

Profile Details

NPI number 1740227032
LBN Legal business name Lane, George W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 24th, 2011 - about 13 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 1740227032 NPPES
Illinois Other 148547 HEALTHLINK
Illinois Other 4281670001 HEALTHLINK
Illinois Other 200041572 HEALTHLINK
Illinois Other 7230175 HEALTHLINK
Illinois MEDICAID 036064025 HEALTHLINK
Illinois Other IL0102 HEALTHLINK
Illinois Other 050053 HEALTHLINK

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