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George W Lane SR., MD
Orthopedic Surgery Physician in Peoria, Illinois
NPI 1740227032

George W Lane SR. is a Orthopedic Surgery Physician based in Peoria, IL. George W Lane SR. practices in Peoria, IL and has the professional credentials of MD. The NPI Number for George W Lane SR. is 1740227032 and holds a License No. 03064025 (Illinois).

The current practice location address for George W Lane SR. is 5401 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-692-6644 and via fax at 309-692-8992.

Location: 5401 N Knoxville Ave, Peoria, IL, 61614-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740227032
Provider Name
George W Lane SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5401 N Knoxville Ave, Peoria, IL, 61614-5098
Phone Number
309-692-6644
Fax Number
309-692-8992
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
148547 01 IL HEALTHLINK
4281670001 01 IL DME
200041572 01 IL RR MEDICARE
7230175 01 IL BLUE CROSS BLUE SHIELD
036064025 05 IL
IL0102 01 IL JOHN DEERE
050053 01 IL HEALTH ALLIANCE
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-6644
Fax Number
309-692-8992
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-6644
Fax Number
309-692-8992
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
03064025 (Illinois)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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