Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 9800602 | NC |
NPI | 1073644175 |
---|---|
Provider Name | Dr. Wendy S Lane |
First Address | Asheville, NC 28803 |
Second Address | Asheville, NC 28801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 05/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1148Q | BCBS (01) | NC |
460003128 | RR MEDICARE (01) | NC |
891148Q | (05) | NC |
D03509 | (02) |