Individual
MARIA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 ADMIRAL COCHRANE DR, SUITE 180, ANNAPOLIS, MD 21401-7365
(410) 571-6411
Mailing address
1363 ESCAPADE CT, RIVA, MD 21140-1308
(410) 956-8656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18817
MD
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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