Lane, Natalie Edith

Lane, Natalie Edith is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Lane, Natalie Edith can be contacted via phone (706) 721-4951.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Fax: (706) 721-7941
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 044516 Georgia

Profile Details

NPI number 1861501314
LBN Legal business name Lane, Natalie Edith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Dec 15th, 2023 - 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 1861501314 NPPES
Georgia MEDICAID 000766268A
Georgia MEDICAID G44516

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