Provider Demographics
NPI:1801076757
Name:LANE, CHRISTOPHER P (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:P
Last Name:LANE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 ASPEN GROVE DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4873
Mailing Address - Country:US
Mailing Address - Phone:615-807-1475
Mailing Address - Fax:615-810-8989
Practice Address - Street 1:3333 ASPEN GROVE DR
Practice Address - Street 2:SUITE 130
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4873
Practice Address - Country:US
Practice Address - Phone:615-807-1475
Practice Address - Fax:615-810-8989
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2226111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4361345OtherCIGNA
9952069OtherAETNA PIN
9491066OtherPHCS/MULTIPLAN
TN3670083OtherMEDICARE PTAN
TN4170954OtherBLUE CROSS BLUE SHIELD
743091968OtherHUMANA