Colleen Kane Lane
Internist Pediatrician Internist - Addiction Medicine
75 Sheldon Ave Se Ste 100
Grand Rapids
, Michigan 49503-4224
Colleen Kane Lane
Internist Pediatrician Internist - Addiction Medicine
75 Sheldon Ave Se Ste 100
Grand Rapids
, Michigan 49503-4224
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
- Pediatrician
Languages spoken
- English
Location
First Address
- Colleen Kane Lane
- 100 Michigan St Ne # Mc845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Colleen Kane Lane
- 75 Sheldon Ave Se Ste 100
- Grand Rapids, MI
- Zip : 49503-4224
- Phone : (616) 391-6120
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301098237 | MI |
| N | 111NI0900X | Internist | 4301098237 | MI |
| Y | 207RA0401X | Internist - Addiction Medicine | 4301098237 | MI |
| N | 208000000X | Pediatrician | 4301098237 | MI |
National Provider Identifier
| NPI | 1881988616 |
|---|---|
| Provider Name | Colleen Kane Lane |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49503-4224 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2011 |
| Last Update Date | 06/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.