Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Shackelford Lane III, MD

Individual provider Vascular Surgery Physician · NPI 1043390172

Dr. John Shackelford Lane III, MD is a Vascular Surgery Physician in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 W Arbor Dr Mailcode 7403
San Diego, CA 92103-9000
Phone: (858) 657-7404
Fax: (858) 657-5033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 000000G81602 (CA)

Record details

NPI number1043390172
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESApril 4, 2013

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