Lane, John Shackelford

Lane, John Shackelford is an individual health care provider with primary practice located at 200 W Arbor Dr Mailcode 7403, San Diego CA 92103-9000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Lane, John Shackelford can be contacted via phone (858) 657-7404.

Contact Information

Primary practice address
200 W Arbor Dr Mailcode 7403 San Diego CA 92103-9000
Fax: (858) 657-5033
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 000000G81602 California

Profile Details

NPI number 1043390172
LBN Legal business name Lane, John Shackelford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Apr 4th, 2013 - about 11 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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