Ross G Lane
Health Service
240 N Tillotson Ave
Muncie
, Indiana 47304-3988
Ross G Lane
Health Service
240 N Tillotson Ave
Muncie
, Indiana 47304-3988
(765) 741-0340
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Ross G Lane
- 240 N Tillotson Ave
- Muncie, IN
- Zip : 47304-3988
- Fax : (765) 741-0340
- Phone : (765) 288-1928
Second Address
- Ross G Lane
- 240 N Tillotson Ave
- Muncie, IN
- Zip : 47304-3988
- Fax : (765) 741-0340
- Phone : (765) 288-1928
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service | 20040913A | IN |
National Provider Identifier
| NPI | 1164474961 |
|---|---|
| Provider Name | Ross G Lane |
| First Address | Muncie, IN 47304-3988 |
| Second Address | Muncie, IN 47304-3988 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 08/07/2007 |
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.