Douglas Timothy Lane in Raleigh - Physician Assistant
Douglas Timothy Lane - NPI 1255529558
Douglas Timothy Lane is a Physician Assistant in Raleigh, North Carolina. Douglas Timothy Lane practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Douglas Timothy Lane is 1255529558. The last update date is 2011-04-05.
Douglas Timothy Lane's current location address is 3515 Glenwood Ave, Raleigh, North Carolina. You can contact this provider via phone number 9197815600 and fax number 9197826578. The mailing address for Douglas Timothy Lane is 3515 Glenwood Ave, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Timothy Lane |
|---|---|
| Address | 3515 Glenwood Ave, Raleigh, North Carolina |
| Phone Number | 9197815600 |
| Fax Number | 9197826578 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1255529558 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2011-04-05 |
Provider Mailing Address Detail
| Address | 3515 Glenwood Ave |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276124934 |
| Phone Number | 9197815600 |
| Fax Number | 9197826578 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0010-01070 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 560941814 | NC | TAX ID |
Post Comment/ Review Below
What is the Douglas Timothy Lane's unique identification number?
The Douglas Timothy Lane has been assigned the NPI (National Provider Identifier) Number 1255529558 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Douglas Timothy Lane located?
The Douglas Timothy Lane is located at 3515 Glenwood Ave, Raleigh, NC 276124934.
What is Douglas Timothy Lane's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Douglas Timothy Lane is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255529558 to Douglas Timothy Lane?
The Centers for Medicare & Medicaid Services originally issued the 1255529558 to Douglas Timothy Lane on 2007-10-11.
When was the Douglas Timothy Lane's information last updated?
The Douglas Timothy Lane's information was last updated on 2011-04-05.