Individual provider · Type 1 NPI

John Edward Lane, MD

Pediatric Critical Care Medicine Physician · Phoenix, AZ

NPI number 1477628824 Active

Practice location

1919 E Thomas Rd, Main Building
Phoenix, AZ 85016-7710

Call (602) 933-2311 Map

Fax (602) 933-4269

Mailing address

2108 E Thomas Rd
Phoenix, AZ 85016-7761

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X40566 (AZ)
Pediatric Cardiology Physician 2080P0202X40566 (AZ)
Pediatric Critical Care Medicine Physician Primary 2080P0203X40566 (AZ)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1477628824

John Edward Lane, MD's National Provider Identifier is 1477628824, issued on Nov 21, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 25, 2025.