Individual
MRS. ISABELLE ESCANO LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9480 ROSEMONT DR STE 100, STREETSBORO, OH 44241-4569
(330) 626-5566
(330) 626-2042
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(330) 626-5566
(330) 626-2042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-009525
OH
207Q00000X
Family Medicine Physician
58.001901
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2990232
—
OH
Enumeration date
05/26/2007
Last updated
12/21/2020
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