Peter S Lane
Internist - Addiction Medicine
619 19th Street South
Birmingham
, Alabama 35233
Peter S Lane
Internist - Addiction Medicine
619 19th Street South
Birmingham
, Alabama 35233
(205) 731-9701
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Peter S Lane
- Po Box 55310
- Birmingham, AL
- Zip : 35255-5310
- Phone : (205) 731-9701
Second Address
- Peter S Lane
- 619 19th Street South
- Birmingham, AL
- Zip : 35233
- Phone : (205) 934-6600
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | DO443 | AL |
National Provider Identifier
| NPI | 1740218965 |
|---|---|
| Provider Name | Peter S Lane |
| First Address | Birmingham, AL 35255-5310 |
| Second Address | Birmingham, AL 35233 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2006 |
| Last Update Date | 08/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 051504527 | (05) | AL |
| 051504527 | BLUE CROSS (01) | AL |
| 051510286 | BC FEDERAL EHBP (01) | AL |
| 051527838 | BLUE CROSS (01) | AL |
| 260048745 | RAILROAD MEDICARE (01) | AL |
| 891010080 | (05) | AL |
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.