Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 124329 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | 124329 | NY |
NPI | 1306886361 |
---|---|
Provider Name | Lewis B Lane |
First Address | Manhasset, NY 11030-5200 |
Second Address | Great Neck, NY 11021-5207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 01/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200008041 | MEDICARE ID (01) | NY |
AS1071 | OXFORD (01) | |
C08028 | (02) |