Individual
DR. GERARDO S. LANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 SW 84TH AVE, SUITE C, PLANTATION, FL 33324-2736
(954) 476-9350
(954) 476-2446
Mailing address
5431 N UNIVERSITY DR, CORAL SPRINGS, FL 33067-4639
(954) 344-2522
(954) 344-9189
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0042179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064267300
—
FL
Enumeration date
02/13/2006
Last updated
10/10/2012
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