Roland, Lane

Roland, Lane is an individual health care provider with primary practice located at 4004 Dupont Cir Ste 230 , Louisville KY 40207-4819. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Roland, Lane can be contacted via phone (502) 893-1333.

Contact Information

Primary practice address
4004 Dupont Cir Ste 230 Louisville KY 40207-4819
Phone: (502) 893-1333
Fax: (502) 899-9576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35849 Kentucky

Profile Details

NPI number 1518961960
LBN Legal business name Roland, Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 26th, 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 1518961960 NPPES
Kentucky MEDICAID 64081995
Kentucky MEDICAID 200485490
Kentucky Other 000000333965
Kentucky Other P00192128

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