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Contact Information

TOM LANE III, ATC
1475 EDGEWOO DRIVE
APT 4B
LIMA, OH45805
 Phone: 419-302-1870
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for TOM LANE III · (Male)

NPI Number 1487811246
Status Active
Credentials ATC
Entity Individual
Enumeration date 05/20/2008
Last updated 05/20/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # AT-770
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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