Lee, Lane M

Lee, Lane M is an sole proprietor health care provider with primary practice located at 400 Matthew St Ste 401 , Marietta OH 45750-1656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Lee, Lane M can be contacted via phone (740) 374-2252.

Contact Information

Primary practice address
400 Matthew St Ste 401 Marietta OH 45750-1656
Phone: (740) 374-2252
Fax: (740) 374-4974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 7886 North Dakota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 7886 North Dakota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 34.005124 Ohio

Profile Details

NPI number 1073600979
LBN Legal business name Lee, Lane M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jan 11th, 2018 - about 6 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 1073600979 NPPES
Ohio MEDICAID 0827289
Ohio MEDICAID 10519
Ohio MEDICAID 3910000637
Ohio Other P01297083

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