Provider Demographics
NPI:1790881613
Name:LANE, ROBERT VIRON (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:VIRON
Last Name:LANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 SW LANE ST
Mailing Address - Street 2:SUITE #200
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1543
Mailing Address - Country:US
Mailing Address - Phone:785-233-0500
Mailing Address - Fax:786-233-0660
Practice Address - Street 1:920 SW LANE ST
Practice Address - Street 2:SUITE #200
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1543
Practice Address - Country:US
Practice Address - Phone:785-233-0500
Practice Address - Fax:786-233-0660
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001027197207Y00000X
KS0433487207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS000OtherMULTIPLAN
KS1790881613OtherBCBS OF KANSAS
KS000OtherCIGNA
KS000OtherTRICARE
KS000OtherHUMANA/CHOICE CARE
KS000OtherINDIAN HEALTH SERVICES
KS000OtherPREFERRED HEALTH SYSTEMS
KS000OtherUNITED HEALTH CARE
KS000OtherCHILDREN'S MERCY
KS200605210AMedicaid
KS201222OtherHEALTH PARTNERS OF KANSAS
KS000OtherCENTURY HEALTH SOLUTIONS
KS000OtherCOVENTRY
KS000OtherMULTIPLAN