IndividualActive
Kathryn Lane, MD
NPI 1154639508 · MOHS-Micrographic Surgery Physician · Champaign, IL
Provider details
- NPI number
- 1154639508
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036154202 (IL)
Practice location
101 W University Ave
Champaign, IL 61820-3981
Phone: (217) 366-1248
Fax: (217) 366-6100
Mailing address
101 W University Ave
Champaign, IL 61820-3981
Registry dates
- Enumerated
- 2010-09-20
- Last updated
- 2022-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.