Individual provider · Type 1 NPI

Charles A. Lane, MD

Surgery Physician · Maryville, IL

NPI number 1164581468 Active

Practice location

6810 State Route 162 Ste 100
Maryville, IL 62062-8560

Call (618) 288-5711 Map

Fax (618) 288-3647

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X036083769 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1164581468

Charles A. Lane, MD's National Provider Identifier is 1164581468, issued on Dec 6, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Maryville, IL. The record was last updated on Mar 9, 2020.