person
Dr. John Shackelford Lane III, MD
Vascular Surgery Physician in San Diego, California
NPI 1043390172

John Shackelford Lane III is a Vascular Surgery Physician based in San Diego, CA and is specialized in Vascular Surgery. John Shackelford Lane III practices in San Diego, CA and has the professional credentials of MD. The NPI Number for John Shackelford Lane III is 1043390172 and holds a License No. 000000G81602 (California).

The current practice location address for John Shackelford Lane III is 200 W Arbor Dr, San Diego, CA and can be reached out via phone at 858-657-7404 and via fax at 858-657-5033.

Location: 200 W Arbor Dr, San Diego, CA, 92103-7403
person
Provider Profile Details
NPI Number
1043390172
Provider Name
John Shackelford Lane III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 W Arbor Dr, San Diego, CA, 92103-7403
Phone Number
858-657-7404
Fax Number
858-657-5033
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
200 W Arbor Dr
City
State
Zip
92103-9000
Phone Number
858-657-7404
Fax Number
858-657-5033
person
Provider Business Mailing Address Details
Address
200 W Arbor Dr
City
State
Zip
92103-9000
Phone Number
858-657-7404
Fax Number
858-657-5033
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
000000G81602 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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