EDWARD M LANE MD PC
NPI 1700063013
Otolaryngology in Bridgeport, CT

Active since January 29, 2008
4675 MAIN ST, BRIDGEPORT, CT 06606(203) 372-0009(203) 372-7931 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Otolaryngology

About EDWARD M LANE MD PC

This page provides the complete NPI Profile along with additional information for Edward M Lane Md Pc, a provider established in Bridgeport, Connecticut operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1700063013 assigned on January 2008. The practitioner's primary taxonomy code is 207Y00000X with license number 024203 (CT). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Izamari Garcia (Manager)

NPI
1700063013 Verify this NPI
Provider Name
EDWARD M LANE MD PC
Entity Type
Organization
Location Address
4675 MAIN ST BRIDGEPORT, CT 06606
Location Phone
(203) 372-0009
Location Fax
(203) 372-7931
Mailing Address
4675 MAIN ST BRIDGEPORT, CT 06606
Mailing Phone
(203) 372-0009
Mailing Fax
(203) 372-7931
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2008
Last Update Date
05-13-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
024203
License State
CT
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. IZAMARI GARCIA

Authorized Official Title
MANAGER
Authorized Official Phone
(203) 372-0009

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1033140876OTHER (01)CTINDIVIDUAL NPI
1700063013OTHER (01)CTORGANIZATIONAL NPI
C03217MEDICARE PIN (08)CT 
B39681MEDICARE UPIN (02)CT 
001242031MEDICAID (05)CT 

Reviews for EDWARD M LANE MD PC

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
4675 MAIN ST
BRIDGEPORT, CT 06606
Clinic/Center (Physical Therapy)
4675 MAIN ST
BRIDGEPORT, CT 06606
Obstetrics & Gynecology (Gynecology)
4675 MAIN ST
BRIDGEPORT, CT 06606
Physical Therapist
4675 MAIN ST
BRIDGEPORT, CT 06606
Physical Therapist
4675 MAIN ST
BRIDGEPORT, CT 06606
Advanced Practice Midwife
4675 MAIN ST
BRIDGEPORT, CT 06606
Obstetrics & Gynecology
4675 MAIN ST
BRIDGEPORT, CT 06606
Allergy & Immunology
4675 MAIN ST
BRIDGEPORT, CT 06606
Internal Medicine (Cardiovascular Disease)
4675 MAIN ST
BRIDGEPORT, CT 06606
Internal Medicine (Cardiovascular Disease)
4675 MAIN ST
BRIDGEPORT, CT 06606
Allergy & Immunology (Allergy)
4675 MAIN ST
BRIDGEPORT, CT 06606
Licensed Practical Nurse
4675 MAIN ST
BRIDGEPORT, CT 06606
Specialist/Technologist (Athletic Trainer)
4675 MAIN ST
BRIDGEPORT, CT 06606
Internal Medicine (Addiction Medicine)
4675 MAIN ST
BRIDGEPORT, CT 06606
Internal Medicine (Addiction Medicine)
4675 MAIN ST
BRIDGEPORT, CT 06606
Clinic/Center (Methadone)
4675 MAIN ST
BRIDGEPORT, CT 06606
Family Medicine (Addiction Medicine)
4675 MAIN ST
BRIDGEPORT, CT 06606
Counselor (Addiction (Substance Use Disorder))
4675 MAIN ST
BRIDGEPORT, CT 06606
Counselor (Addiction (Substance Use Disorder))
4675 MAIN ST
BRIDGEPORT, CT 06606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700063013, enumerated as an "organization" on January 29, 2008.

The provider is located at 4675 MAIN ST BRIDGEPORT, CT 06606 and the phone number is (203) 372-0009.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.