Provider Demographics
NPI:1073644175
Name:LANE, WENDY S (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:S
Last Name:LANE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:122 WINDOVER DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-684-8843
Mailing Address - Fax:828-258-0864
Practice Address - Street 1:141 ASHELAND AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-258-2404
Practice Address - Fax:828-258-0864
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2013-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9800602207RE0101X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891148QMedicaid
NC460003128OtherRR MEDICARE
NC1148QOtherBCBS
NC891148QMedicaid
D03509Medicare UPIN