Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lane R Phillips, DO

Individual provider Family Medicine Physician · NPI 1659374122

Dr. Lane R Phillips, DO is a Family Practice in Lake Mary, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 1997, 29 years ago. Practices with Spartanburg Medical Center, a 1,067-clinician group and accepts Medicare assignment. Licensed in Florida and South Carolina.

Years since qualifying
29
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL, SC
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1125 Townpark Ave Ste 1011
Lake Mary, FL 32746-7605
Phone: (407) 804-9494
Fax: (407) 804-9443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0S7692 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 83416 (SC)

Record details

NPI number1659374122
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021
Mailing address1125 Townpark Ave Suite 1011, Lake Mary, FL 32746-7605

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 1997 (29 years in practice)
Group practice Spartanburg Medical Center — 1067 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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