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Individual

IAN LANDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4445 WILLARD AVE, STE 200, CHEVY CHASE, MD 20815-3690
(301) 654-4242
(703) 280-5098
Mailing address
3015 WILLIAMS DR, STE 200, FAIRFAX, VA 22031-4623
(703) 641-9133
(703) 280-5098

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0033140
MD

Other

Enumeration date
05/11/2006
Last updated
06/23/2009
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