Provider Demographics
NPI:1952527533
Name:LANE, LORI GAYLE (PT)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:GAYLE
Last Name:LANE
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Gender:F
Credentials:PT
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Mailing Address - Street 1:5401 SOUTH ST
Mailing Address - Street 2:MADONNA REHABILITATION HOSPITAL
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2150
Mailing Address - Country:US
Mailing Address - Phone:402-483-9534
Mailing Address - Fax:402-486-9098
Practice Address - Street 1:5401 SOUTH ST
Practice Address - Street 2:MADONNA REHABILITATION HOSPITAL
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2150
Practice Address - Country:US
Practice Address - Phone:402-483-9534
Practice Address - Fax:402-486-9098
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2009-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE1019282N00000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No282N00000XHospitalsGeneral Acute Care Hospital