David Richey Lane in Charlotte - Procedural Dermatology

David Richey Lane - NPI 1093744096

David Richey Lane is a Procedural Dermatology in Charlotte, North Carolina. David Richey Lane practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for David Richey Lane is 1093744096. The last update date is 2017-05-08.

David Richey Lane's current location address is 15830 Ballantyne Medical Place, Charlotte, North Carolina. You can contact this provider via phone number 7049191105 and fax number 7049103163. The mailing address for David Richey Lane is 15830 Ballantyne Medical Place, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name David Richey Lane
Address 15830 Ballantyne Medical Place, Charlotte, North Carolina
Phone Number 7049191105
Fax Number 7049103163
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1093744096
Provider Enumeration Date 2006-07-02
Last Updated Date 2017-05-08

Provider Mailing Address Detail

Address 15830 Ballantyne Medical Place
City Charlotte
State North Carolina (NC)
Post Code 282773294
Phone Number 7049191105
Fax Number 7049103163

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No 844
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2075624 NC MEDICARE GROUP PTAN

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FAQs about David Richey Lane

What is the unique 10-digit identification code assigned to David Richey Lane by the Centers for Medicare & Medicaid Services?

The David Richey Lane has been issued the NPI (National Provider Identifier) 1093744096, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the David Richey Lane's physical address?

The David Richey Lane is physically located at 15830 Ballantyne Medical Place, in the city of Charlotte, NC, with the postal code 282773294.

What is the area of specialization for David Richey Lane, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for David Richey Lane is Procedural Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207Ns0135X.

When was the David Richey Lane's 1093744096 issued?

The David Richey Lane's 1093744096 was issued on 2006-07-02.

When was the information related to David Richey Lane most recently updated or refreshed?

The details pertaining to the David Richey Lane, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-05-08.

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