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

Justin Anthony Lane

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1003622234

Justin Anthony Lane is an Emergency Medical Services (Emergency Medicine) Physician in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

304 Woodlake Ln # 304
Pontiac, MI 48340-1183
Phone: (313) 574-8845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 2012088 (MI)

Record details

NPI number1003622234
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 3, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

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