Charles A. Lane is a Surgery in Maryville, Illinois. Charles A. Lane practices all healthcare services and medical treatments related to Surgery. The NPI Number for Charles A. Lane is 1164581468. The last update date is 2020-03-09.
Charles A. Lane's current location address is 6810 State Route 162 Ste 100, Maryville, Illinois. You can contact this provider via phone number 6182885711 and fax number 6182883647. The mailing address for Charles A. Lane is 6810 State Route 162 Ste 100, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles A. Lane |
|---|---|
| Address | 6810 State Route 162 Ste 100, Maryville, Illinois |
| Phone Number | 6182885711 |
| Fax Number | 6182883647 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164581468 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2020-03-09 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 Ste 100 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628560 |
| Phone Number | 6182885711 |
| Fax Number | 6182883647 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36083769 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 353524701001 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Charles A. Lane by the Centers for Medicare & Medicaid Services?
The Charles A. Lane has been assigned the NPI (National Provider Identifier) 1164581468. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles A. Lane?
The Charles A. Lane is situated at 6810 State Route 162 Ste 100, in the city of Maryville, state of IL, with the zip code 620628560.
What is the Charles A. Lane's specialty and taxonomy code?
The Charles A. Lane's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164581468 to Charles A. Lane?
The Centers for Medicare & Medicaid Services assigned the 1164581468 to Charles A. Lane on 2006-12-06.
As of what date was the information pertaining to Charles A. Lane, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles A. Lane, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-03-09.
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