Individual
GERALD W. LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1275 OLENTANGY RIVER RD, SUITE 202, COLUMBUS, OH 43212-3119
(614) 946-3588
(614) 204-3884
Mailing address
5250 BETHEL REED PARK, COLUMBUS, OH 43220-1811
(614) 451-8770
(614) 451-2291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-4829
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0752672
—
OH
Enumeration date
06/15/2006
Last updated
06/19/2008
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