Lane Swayze Clinic, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

RL004855 Issued in MI

Legal business name

LANE SWAYZE CLINIC, P.C.

Practice address

209 S. Main St.
Almont, MI 48003

Phone

(810) 798-3938

Fax

(810) 798-8870

NPI assigned

Jun 13, 2007

Last updated

Jan 4, 2010By 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

Dr. Robert E Lane, D.O.

Title

Owner

Phone

(810) 798-3938

Specialties & licenses 1

Addresses

Other names 1

• Robert E. Lane, D.O. Other name

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1992909030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "address_2": "209 S. MAIN STREET",
            "city": "ALMONT",
            "state": "MI",
            "postal_code": "480030445",
            "telephone_number": "810-798-3938",
            "fax_number": "810-798-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S. MAIN ST.",
            "city": "ALMONT",
            "state": "MI",
            "postal_code": "48003",
            "telephone_number": "810-798-3938",
            "fax_number": "810-798-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE SWAYZE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-798-3938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "RL004855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert E. Lane, D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Gerald Joseph Kozak III, MPT
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• Internal Medicine Physician in Almont, MI
• Providers in Almont, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.