DR. John Shackelford Lane, MD is a vascular surgery surgery in San Diego, CA with 31 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. John Shackelford Lane, MD NPI is 1043390172. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1993
The provider's business location address is:
200 W ARBOR DR
MAILCODE 7403
SAN DIEGO, CA
ZIP 92103-000
Phone: (858) 657-7404
Fax: (858) 657-5033
The NPI 1043390172 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/16/2006 and was last updated on 4/4/2013.