Provider Demographics
NPI:1154414506
Name:LANE-STEINBERG, LEI (PT)
Entity type:Individual
Prefix:MS
First Name:LEI
Middle Name:
Last Name:LANE-STEINBERG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:LISHA
Other - Middle Name:ANN
Other - Last Name:LANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2750 OCEAN CLUB BLVD
Mailing Address - Street 2:APT 308
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-3938
Mailing Address - Country:US
Mailing Address - Phone:954-213-1258
Mailing Address - Fax:
Practice Address - Street 1:2750 OCEAN CLUB BLVD
Practice Address - Street 2:APT 308
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-3938
Practice Address - Country:US
Practice Address - Phone:954-213-1258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT205182251E1200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1372AMedicare ID - Type UnspecifiedPROVIDER NUMBER