Lane Family Wellness Center, LLC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LANE FAMILY WELLNESS CENTER, LLC.

Practice address

1323 W Fletcher Ave Ste a
Tampa, FL 33612-3310

Phone

(813) 968-4293

Fax

(813) 968-3182

NPI assigned

Nov 7, 2017

Last updated

Dec 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tommy Michael Lane, DC

Title

Owner

Phone

(813) 968-4293

Specialties & licenses 3

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20412/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1689187189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W FLETCHER AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310",
            "telephone_number": "813-968-4293",
            "fax_number": "813-968-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W FLETCHER AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310",
            "telephone_number": "813-968-4293",
            "fax_number": "813-968-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE FAMILY WELLNESS CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-968-4293",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney J Landreneau, MD
• Kimberly S Landry, MA
• Glenda Landskroner-Black, ARNP
• Lisa Smokler Landwirth, LCSW
• Lane Family Chiropractic
• Alexis Lane
• Dana Lashelle Lane, LMHC
• Frank B Lane, MD
• Genevieve June Lane
• James R Lane, MD

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.