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

Michael James Lane, ATC

Individual provider Athletic Trainer · NPI 1962042358

Michael James Lane, ATC is an Athletic Trainer in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4331 S Fremont Ave
Springfield, MO 65804-7328
Phone: (417) 820-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2013023199 (MO)

Record details

NPI number1962042358
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020
Mailing address3651 S Sunrise Ave, Springfield, MO 65807-0986

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