Lane, Gregory Lindsey

Lane, Gregory Lindsey is an individual health care provider with primary practice located at 516 Montgomery St , Decorah IA 52101-2720. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lane, Gregory Lindsey can be contacted via phone (563) 382-4770.

Contact Information

Primary practice address
516 Montgomery St Decorah IA 52101-2720
Phone: (563) 382-4770
Fax: (563) 382-4785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 02348 Iowa

Profile Details

NPI number 1013918309
LBN Legal business name Lane, Gregory Lindsey
Credentials MS PT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Apr 4th, 2018 - about 6 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 1013918309 NPPES
Iowa Other 44396 BLUE CROSS OF IOWA
Iowa Other 8B773LA BLUE CROSS OF IOWA
Iowa MEDICAID 0182790 BLUE CROSS OF IOWA

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