Dr. David Richey Lane
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
15830 Ballantyne Medical Place Ste 225
Charlotte
, North Carolina 28277-3294
Dr. David Richey Lane
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
15830 Ballantyne Medical Place Ste 225
Charlotte
, North Carolina 28277-3294
(704) 910-3163
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. David Richey Lane
- 15830 Ballantyne Medical Place Ste 225
- Charlotte, NC
- Zip : 28277-3294
- Fax : (704) 910-3163
- Phone : (704) 919-1105
Second Address
- Dr. David Richey Lane
- 15830 Ballantyne Medical Place Ste 225
- Charlotte, NC
- Zip : 28277-3294
- Fax : (704) 910-3163
- Phone : (704) 919-1105
Reviews
FAQs
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Is Dr. David Richey Lane a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 00844 | NC |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 00844 | NC |
| N | 207NS0135X | Procedural Dermatology | 00844 | NC |
National Provider Identifier
| NPI | 1093744096 |
|---|---|
| Provider Name | Dr. David Richey Lane |
| First Address | Charlotte, NC 28277-3294 |
| Second Address | Charlotte, NC 28277-3294 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2006 |
| Last Update Date | 08/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2075624 | MEDICARE GROUP PTAN (01) | NC |
| AA2608F903 | (02) | SC |
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.