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EDWARD M LANE MD PC NPI 1700063013


NPI Information

NPI: 1700063013
Provider Name: EDWARD M LANE MD PC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
4675 MAIN ST
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 372-0009
Get Directions

EDWARD M LANE MD PC is an otolaryngology in Bridgeport, CT. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. EDWARD M LANE MD PC NPI is 1700063013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4675 MAIN ST
BRIDGEPORT, CT
ZIP 06606-813
Phone: (203) 372-0009
Fax: (203) 372-7931

The provider's authorized official is Izamari Garcia .
The authorized official title is Manager and has the following contact phone number (203) 372-0009.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 5/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology024203CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11033140876OTHERCONNECTICUTINDIVIDUAL NPI
21700063013OTHERCONNECTICUTORGANIZATIONAL NPI
3C03217MEDICARE PINCONNECTICUT
4B39681MEDICARE UPINCONNECTICUT
5001242031MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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