Active NPI
David M. Lane, DVM
- Veterinarian
- Albion, IL
National Provider Identifier
1265788988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 0900004003
- Practice address
- 1023 County Road 700 E
Albion, IL 62806-4438 - Phone
- (618) 446-3263
- Fax
- (618) 529-2238
- NPI assigned
- Jul 31, 2012
- Last updated
- Jun 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 0900004003 | IL | Primary |
Addresses
Primary practice location
1023 County Road 700 E
Albion, IL 62806-4438
Mailing address
PO Box 195
Albion, IL 62806-0195
Phone (618) 446-3263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0900004003 | IL | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1265788988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 195",
"city": "ALBION",
"state": "IL",
"postal_code": "628060195",
"telephone_number": "618-446-3263",
"fax_number": "618-529-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 COUNTY ROAD 700 E",
"city": "ALBION",
"state": "IL",
"postal_code": "628064438",
"telephone_number": "618-446-3263",
"fax_number": "618-529-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "DAVID",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-31",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "IL",
"license": "0900004003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.