David L Lane, M,D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD11896 Issued in TN

Practice address

Building 160 Dogwood Avenue
Mountain Home, TN 37684

Phone

(423) 926-1171

Fax

(423) 979-3507

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114979440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 OVERHILL DR",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376594347",
            "telephone_number": "423-926-1171",
            "fax_number": "423-979-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 160 DOGWOOD AVENUE",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-926-1171",
            "fax_number": "423-979-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M,D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD11896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD0000011896",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101028936",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Kwiatkowski
• Laura Beth Kyte, P.T.
• Laurie Ann Labudde, FNP
• Nancy Ann Laguardia, PMHNP-BC
• Dawn Lajoie, MD
• Lawrence Benjamin Lane, D.M.D.
• John Taft Lard, DPM
• Christina Largent, DO
• Paul James Laucka, PHARM D.
• Sharon Lea Lawing

• Family Medicine Physician in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.