DR. DOUGLAS W LANE (NPI# 1780732073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780732073 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS W LANE |
| Credential | PH. D |
| Practice Address |
1205 Se Professional Mall Blvd Suite 113 Pullman WA 99163-5423 |
| Mailing Address |
Po Box 214 Pullman WA 99163-0214 |
| Practice Telephone | 5093380848 |
| Practice Fax Number | 5093343115 |
| Mailing Telephone | 5093380848 |
| Mailing Fax Number | 5093343115 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY00003471 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255529558 | Douglas Timothy Lane | Physician Assistant | 3515 Glenwood Ave., Raleigh Orthopaedic Clinic, Raleigh, NC 27612-4934 | 2007-10-11 |
| 1598049157 | Douglas Lane | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2011-09-30 |
| Street Address |
1205 SE PROFESSIONAL MALL BLVD SUITE 113 |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354835 | Alvin Lyle Frostad | Pediatrics | 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163-5423 | 2005-11-22 |
| 1235587890 | Ashley Randleman | Nurse Practitioner | 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163-5423 | 2016-05-24 |
| 1992184972 | Apple A Day Family Medicine | Family Medicine | 1205 Se Professional Mall Blvd, Suite 105, Pullman, WA 99163-5423 | 2015-05-24 |
| 1124418520 | Kami Cornwall | Counselor | 1205 Se Professional Mall Blvd, Suite 109, Pullman, WA 99163-5423 | 2015-01-23 |
| 1710240924 | Whitman County Health Department | Public Health or Welfare | 1205 Se Professional Mall Blvd, Suite 203, Pullman, WA 99163-5423 | 2012-06-21 |
| 1518272418 | Jonathan B Fisher, Dds,pllc | Dentist | 1205 Se Professional Mall Blvd, Suite 201, Pullman, WA 99163-5423 | 2010-08-16 |
| 1952622938 | John S. Mcinturff | Dentist | 1205 Se Professional Mall Blvd, Suite 202, Pullman, WA 99163-5423 | 2010-06-14 |
| 1821261728 | Methuel Andriano Vishnu Gordon | Pediatrics | 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163-5423 | 2008-04-11 |
| 1508075128 | Marcus Torrey Dds Pllc | Dentist | 1205 Se Professional Mall Blvd, Suite 201, Pullman, WA 99163-5423 | 2007-05-21 |
| 1063582971 | Devlin & Huberty Ps | Obstetrics & Gynecology | 1205 Se Professional Mall Blvd, Ste 102, Pullman, WA 99163-5423 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225375165 | Michael David Brodeur | Psychologist | 1815 Ne Wilson Rd, Pullman, WA 99164-0001 | 2013-01-11 |
| 1629193198 | Laurie J Smith | Psychologist | 1256 Se Bishop Boulevard, Suite M, Pullman, WA 99163-2413 | 2007-03-20 |
| 1023039526 | Jennifer Ann Luboski | Psychologist | 1256 Se Bishop Blvd Ste N, Pullman, WA 99163-5414 | 2006-07-21 |
| 1407808728 | Lennard Zylstra | Psychologist | 252 Brayton Rd, Pullman, WA 99163-8935 | 2006-05-16 |
| 1619956844 | Jessica Leigh Viergutz-cavagnetto | Psychologist | 107 South Grand Avenue, Suite D, Pullman, WA 99163 | 2006-01-16 |
| 1205349990 | Intercare Community Health Network | Psychologist | 5498 109th Ave, Pullman, MI 49450-9631 | 2017-11-16 |
| 1841646882 | Nikki Stypa | Psychologist | 1240 Se Bishop Blvd, Ste Q, Pullman, WA 99163-5439 | 2016-05-09 |
| 1568705960 | Angela Lea Stone | Psychologist | 340 Ne Maple St, Pullman, WA 99163-4120 | 2013-04-03 |
| 1215125562 | Len D Mccoy Psy D | Psychologist | 1260 Se Bishop Blvd, Suite B, Pullman, WA 99163-5451 | 2007-10-11 |
| 1891992293 | Independent Psychologists | Psychologist | 1256 Se Bishop Boulevard, Suite M, Pullman, WA 99163-2413 | 2007-06-28 |
| Find all providers in PULLMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.