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Contact Information

JAMES R LANE III, PHD
116 LAWRENCE DR
SUITE 4
COLUMBUS, MS39702-5319
 Phone: 662-329-0114
 Fax: 662-329-0114
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JAMES R LANE III · (Male)

NPI Number 1154476885
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/24/2007
Last updated 05/03/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 10140
  • MS Medicaid 00115529
  • MS Medicaid 08431317
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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