Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN DAVID LANE, M.D.
ActiveJOHN DAVID LANE, M.D. is a Therapeutic Radiology healthcare provider located in BAYSIDE, Wisconsin. NPI 1962486498 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · BAYSIDE, WI
Registration Details
- NPI Number
- 1962486498
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2005 (20.741592033613 yrs)
- Last Updated
- May 29, 2014
- License
-
37503 (WI)
Practice Information
- Address
-
500 W BROWN DEER RDSUITE 202BAYSIDE, WI, 532171618Browse WI providers · Browse ZIP 53217
- Phone
- 4144340461
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
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.