Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIM RAE LANE, M.D.
Deactivated Sole ProprietorDR. KIM RAE LANE, M.D. is a Specialist healthcare provider located in LONGMONT, Colorado. NPI 1477548188 is deactivated in the NPPES registry. Verify at CMS.
Specialist · LONGMONT, CO
This NPI has been deactivated.
The record was deactivated on March 23, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1477548188
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2005 (0.50684931506849 yrs)
- Last Updated
- Jul 8, 2010
- Deactivated
- Mar 23, 2006
- License
-
36341 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 15TH AVESUITE 200LONGMONT, CO, 805012700Browse CO providers · Browse ZIP 80501
- Phone
- 3037765820
- Fax
- 3037763302
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LONGMONT, CO
| Name | Credential | NPI |
|---|---|---|
| RALPH LYNN PETRILLI | M.D. | 1558303891 |
| WALLACE ALEXANDER SNEDDON | M.D. | 1205871118 |
| STEPHEN JAY WEDDEL | M.D. | 1750326468 |
| DAWN PAVOT | MD | 1972539534 |
| TODD DEBOOM | MD | 1306873823 |
| TERRY E. ROBINSON | M.D. | 1871528836 |
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.