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Lisa A. Lane, MD
Family Medicine Physician in Avilla, Indiana
NPI 1699760819

Lisa A. Lane is a Family Medicine Physician based in Fort Wayne, IN. Lisa A. Lane practices in Avilla, IN and has the professional credentials of MD. The NPI Number for Lisa A. Lane is 1699760819 and holds a License No. 01046721 (Indiana).

The current practice location address for Lisa A. Lane is 125 Baum Street, Avilla, IN and can be reached out via phone at 260-897-3349 and via fax at 260-897-3650.

Location: 125 Baum Street, Avilla, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699760819
Provider Name
Lisa A. Lane
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
125 Baum Street, Avilla, IN, 46845-1701
Phone Number
260-897-3349
Fax Number
260-897-3650
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200179590A 05 IN
000000570556 01 IN ANTHEM
P00354178 01 IN RAILROAD MEDICARE
000000364996 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
125 Baum Street
City
Avilla
State
Indiana
Zip
46710-0698
Phone Number
260-897-3349
Fax Number
260-897-3650
person
Provider Business Mailing Address Details
Address
125 Baum Street
City
Avilla
State
Indiana
Zip
46710-0698
Phone Number
260-897-3349
Fax Number
260-897-3650
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01046721 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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