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Charles Lane, MD
NPI 1164581468 · on the registry since 2006
Practice
- Address
- 6810 State Route 162 Ste 100
Maryville, IL 62062 - Phone
- (618) 288-5711
- Fax
- (618) 288-3647
- Organisation at this address
- Mark Fedder, Md, Pc
Mark Edelstein, Md, Pc
Sps Surgical Services, Sc
James J. Dalla Riva, Md, Pc
Anderson Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois