Phillips, Lane R
Phillips, Lane R is an individual health care provider with primary practice located at 1125 Townpark Ave Ste 1011 , Lake Mary FL 32746-7605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phillips, Lane R can be contacted via phone (407) 804-9494.Contact Information
Primary practice address
1125 Townpark Ave Ste 1011
Lake Mary FL 32746-7605
Phone: (407) 804-9494
Fax: (407) 804-9443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 83416 | South Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0S7692 | Florida |
Profile Details
NPI number | 1659374122 |
---|---|
LBN Legal business name | Phillips, Lane R |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2005 |
Last updated | Jul 12th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659374122 | NPPES |
South Carolina | Other | 83416 | SC BOARD OF MEDICAL EXAMINERS |
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