Individual provider · Type 1 NPI

Lisa A. Lane, MD

Family Medicine Physician · Avilla, IN

NPI number 1699760819 Active

Practice location

104 Nicholas Pl
Avilla, IN 46710-0069

Call (260) 897-3308 Map

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	01046721 (IN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1699760819

Lisa A. Lane, MD's National Provider Identifier is 1699760819, issued on Sep 14, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Avilla, IN. The record was last updated on Jan 20, 2026.