Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | ME12971 | FL |
NPI | 1447240775 |
---|---|
Provider Name | Dr. Frank B Lane |
First Address | Tampa, FL 33679-8372 |
Second Address | Tampa, FL 33609-4039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 26/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
053019100 | (05) | FL |
29759 | BCBS (01) | FL |
830008569 | RAILROAD MEDICARE (01) | |
D53708 | (02) | FL |