Lane, Sandra Evelyn

Lane, Sandra Evelyn is an individual health care provider with primary practice located at 315 E Olympia Ave Unit 211 , Punta Gorda FL 33950-3823. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Lane, Sandra Evelyn can be contacted via phone (941) 637-2663.

Contact Information

Primary practice address
315 E Olympia Ave Unit 211 Punta Gorda FL 33950-3823
Phone: (941) 637-2663
Fax: (941) 637-6872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35052191 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME136355 Florida

Profile Details

NPI number 1023087467
LBN Legal business name Lane, Sandra Evelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jan 14th, 2020 - about 4 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 1023087467 NPPES
Ohio MEDICAID 0671269
Ohio Other 000000209373
Ohio Other 311157926SAL
Ohio Other P00131420
Ohio Other 310846816007
Ohio Other 6567
Ohio Other 010064146
Ohio Other 4015568
Ohio Other 000000226360
Ohio Other 2300473

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