Edward Michael Lane MD

NPI 1033140876 - Otolaryngology - 207Y00000X

NPI Details
NPI 1033140876
Gender Male
Enumeration Date 07/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4675 MAIN STREET
BRIDGEPORT CT, 06606, US
Phone (203) 372-0009
Fax (203) 372-7931
Business Location
4675 MAIN STREET
BRIDGEPORT CT, 06606, US
Phone (203) 372-0009
Fax (203) 372-7931
Toxanomy
Taxonomy Code 207Y00000X
License State Connecticut
License Number 024213
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According to our database, Dr. Edward Michael Lane MD NPI is 1033140876, taxonomy code is 207Y00000X and license number is 024213, license state is located at Connecticut. Edward Michael Lane MD physically located at 4675 Main Street, Bridgeport CT, 06606. NPI Number Edward Michael Lane MD has the Individual type.

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1033140876 NPI number is provided on an as is basis without warranty of any kind. 1033140876 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Michael Lane MD are for informational purposes only.