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Contact Information

SANDRA E LANE, MD
315 E OLYMPIA AVE UNIT 211
PUNTA GORDA, FL33950-3823
 Phone: 941-637-2663
 Fax: 941-637-6872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SANDRA E LANE · (Female)

NPI Number 1023087467
Status Active
Credentials MD
Entity Individual
Enumeration date 03/17/2006
Last updated 01/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME136355
  • OH License # 35052191
  • OH Medicaid 0671269
  • Other 4015568 AETNA
  • Other 000000209373 ANTHEM
  • Other 000000226360 ANTHEM
  • Other P00131420 CIGNA
  • Other 6567 NATIONWIDE
  • Other 310846816007 PRUDENTIAL
  • Other 010064146 RAILROAD MEDICARE
  • Other 311157926SAL SUMMIT
  • Other 2300473 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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