Individual ProviderJill LaneInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address10666 N Torrey Pines Rd, Maildrop 203n, La Jolla, CA 92037-1027(858) 554-8879PECOS EnrollmentBased on the most recent information from CMS, provider Jill Lane is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1083602338Provider TypeIndividualFull NameLane, JillCredentialMDGenderFemaleSole ProprietorNoEnumeration Date10/11/2005Last Updated8/25/2016Contact InformationPractice LocationPractice Address10666 N Torrey Pines Rd, Maildrop 203n, La Jolla, CA 92037-1027Phone(858) 554-8879FaxUnlisted FaxMailing LocationMailing Address10790 Rancho Bernardo Rd, San Diego, CA 92127-5705Phone(858) 554-8879FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RG0100XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA88121California