| Lane Medical Group | |
|
129 Whetstone St Monroeville AL 36460-2625 | |
| (251) 575-3939 | |
| (251) 575-2379 |
| Full Name | Lane Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 129 Whetstone St, Monroeville, Alabama |
| Authorized Official Name and Position | Thomas H Lane (PRESIDENT) |
| Authorized Official Contact | 2515753939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lane Medical Group 129 Whetstone St Monroeville AL 36460-2625 Ph: (251) 575-3939 | Lane Medical Group 129 Whetstone St Monroeville AL 36460-2625 Ph: (251) 575-3939 |
| NPI Number | 1194863340 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 12/08/2009 |
| Medicare PECOS PAC ID | 0749272433 |
|---|---|
| Medicare Enrollment ID | O20150317001026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194863340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Anthony S House |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952615973 PECOS PAC ID: 2365680337 Enrollment ID: I20130823000455 |
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