| Doctor Name: | DANIEL RAY LANE |
| NPI Number: | 1144310186 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW |
| License Number: | 6801076581 |
| Business Practice Address: | 149 Hart Street 82 Medical Group Sgh Sheppard Afb, TX - 763113482 |
| Business Phone Number: | 9406763022 |
| Business Fax Number: | |
| Mailing Address: | 4803 Olympic Drive, WICHITA FALLS |
| State: | TX |
| Postal Code: | 76310 |
| Phone Number: | 9406130757 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801076581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |