OrganizationActive
Edward M Lane MD PC
NPI 1700063013 · Otolaryngology Physician · Bridgeport, CT
Provider details
- NPI number
- 1700063013
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Izamari Garcia, Manager(203) 372-0009
- License
- 024203 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4675 Main St
Bridgeport, CT 06606-1813
Phone: (203) 372-0009
Fax: (203) 372-7931
Approximate (ZIP-level) locationGet directions
Mailing address
4675 Main St
Bridgeport, CT 06606-1813
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2013-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.