Active NPI
Laurence B Lane, CRNFA
- Registered Nurse First Assistant
- Festus, MO
National Provider Identifier
1669548301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 069722
- Practice address
- 132 Sunrise CT
Festus, MO 63028 - Phone
- (636) 933-2147
- Fax
- (636) 933-3908
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 069722 | MO | Primary |
Addresses
Primary practice location
132 Sunrise CT
Festus, MO 63028
Mailing address
132 Sunrise CT
Festus, MO 63028
Phone (636) 933-2147
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 |
|---|---|---|---|
| 069722 | MO | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgeons' First, LLC | Registered Nurse First Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Nurse First Assistant
- Festus, MO
- NPI 1487811063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669548301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 SUNRISE CT",
"city": "FESTUS",
"state": "MO",
"postal_code": "63028",
"telephone_number": "636-933-2147",
"fax_number": "636-933-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 SUNRISE CT",
"city": "FESTUS",
"state": "MO",
"postal_code": "63028",
"telephone_number": "636-933-2147",
"fax_number": "636-933-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "LAURENCE",
"middle_name": "B",
"credential": "CRNFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "MO",
"license": "069722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- 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.