# LYLE T. MODLIN, DPM PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134251895
- **Authorized official:** RENEAU ZEPP (OFFICE MANAGER)
- **Authorized official phone:** (410) 263-3100

## Contact information

- **Practice address:** 43 OLD SOLOMONS ISLAND RD, SUITE 102, ANNAPOLIS, MD 21401-3850
- **Practice address phone:** (410) 263-3100
- **Practice address fax:** (410) 263-7380
- **Mailing address:** 43 OLD SOLOMONS ISLAND RD, SUITE 102, ANNAPOLIS, MD 21401-3850
- **Mailing address phone:** (410) 263-3100
- **Mailing address fax:** (410) 263-7380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 00631 | MD | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 07/07/2011