Lane, Joel Robin

Lane, Joel Robin is an individual health care provider with primary practice located at Banner Physician Specialists 37100 N. Gantzel Rd. Ste. 107, Queen Creek AZ 84140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lane, Joel Robin can be contacted via phone (480) 394-4480.

Contact Information

Primary practice address
Banner Physician Specialists 37100 N. Gantzel Rd. Ste. 107 Queen Creek AZ 84140
Phone: (480) 394-4480
Fax: (602) 805-2823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 04-28701 Kansas

Profile Details

NPI number 1578539482
LBN Legal business name Lane, Joel Robin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Apr 10th, 2024 - about last year

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 1578539482 NPPES
Kansas MEDICAID 100370670A
Kansas Other 27405014
Kansas Other 0446690001
Kansas Other 200040056
Kansas Other 480765814

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