Dr Brian Lane, is a
Dentist - General Practice based in Vilonia, Arkansas. Dr Brian Lane is licensed to practice in Arkansas (license number 3395) and his current practice location is
17 Eagle Park, Vilonia, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 796-3903.
NPI number for Dr Brian Lane is 1710072277 and his current mailing address is Po Box 130, Vilonia, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710072277.
Healthcare Provider's Profile
| Full Name | Dr Brian Lane |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 17 Eagle Park, Vilonia, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710072277
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Brian Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710072277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 3395 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brian Lane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Brian Lane,
Po Box 130,
Vilonia, AR 72173
Ph: () - | Dr Brian Lane,
17 Eagle Park,
Vilonia, AR 72173
Ph: (501) 796-3903 |
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