IndividualActive
John Lane, M.D.
NPI 1477628824 · Pediatric Critical Care Medicine Physician · Phoenix, AZ
Provider details
- NPI number
- 1477628824
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 40566 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1919 E Thomas Rd
Main Building
Phoenix, AZ 85016-7710
Phone: (602) 933-2311
Fax: (602) 933-4269
Approximate (ZIP-level) locationGet directions
Mailing address
2108 E Thomas Rd
Phoenix, AZ 85016-7761
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.