Lane, Melanie Ann

Lane, Melanie Ann is an individual health care provider with primary practice located at 17014 W Bell Rd Ste 100 , Surprise AZ 85374-2479. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lane, Melanie Ann can be contacted via phone (623) 866-4484.

Contact Information

Primary practice address
17014 W Bell Rd Ste 100 Surprise AZ 85374-2479
Phone: (623) 866-4484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30590 Arizona

Profile Details

NPI number 1720062953
LBN Legal business name Lane, Melanie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Apr 8th, 2020 - about 5 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 1720062953 NPPES
Arizona Other 30590 LICENSE
Arizona Other Z22506 LICENSE

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