Nicolas Lane, ATC is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Walnut, California. Nicolas Lane is licensed to practice in California (license number 2081S0010X) and his current practice location is 742 Bonnie Claire Dr, Walnut, California. He can be reached at his office (for appointments etc.) via phone at
(909) 554-0335.
NPI number for Nicolas Lane is 1326532417 and his current mailing address is 4373 Whitney Ct, Chino, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326532417.
Physician's Profile
Full Name | Nicolas Lane |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 742 Bonnie Claire Dr, Walnut, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326532417
- Provider Enumeration Date: 06/21/2018
- Last Update Date: 05/20/2024
Medical Identifiers
Medical identifiers for Nicolas Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326532417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 2081S0010X (California) | 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. Nicolas 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 |
Nicolas Lane, ATC 4373 Whitney Ct, Chino, CA 91710-3963 Ph: (909) 554-0335 | Nicolas Lane, ATC 742 Bonnie Claire Dr, Walnut, CA 91789-4185 Ph: (909) 554-0335 |
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