Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FRED L LANE JR., DDS
ActiveMR. FRED L LANE JR., DDS is a Oral & Maxillofacial Surgery healthcare provider located in BKLYN, New York. NPI 1134288335 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · BKLYN, NY
Registration Details
- NPI Number
- 1134288335
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2006 (19.734867706718 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0024303 (NY)
Practice Information
- Address
-
527 NOSTRAND AVEBKLYN, NY, 11216Browse NY providers · Browse ZIP 11216
- Phone
- 7187830414
- Fax
- 7187831422
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.