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ROBERT C LANE M.D.

>> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1699741082

Individual Registrant:
 ROBERT C LANE M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
35 GRASSE STREET  CALICO ROCK, AR 72519 US
Tel: 870-297-2475  Fax: 870-297-4380

Contact information for business:
PO BOX 819  CALICO ROCK, AR 72519-0819 US
Tel: 870-297-2475  Fax: 870-297-4380

Registration Information:
NPI: 1699741082
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
ARC4350
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
ARC4350

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CIGNA02113AR01
QUALCHOICE1367600000001
102785001AR05
BLUE CROSS BLUE SHIELD5303901




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