Individual
DR. CHRISTINE A. LAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 220, PHILADELPHIA, PA 19107-4414
(215) 955-8465
(215) 955-2516
Mailing address
833 CHESTNUT ST, SUITE 220, PHILADELPHIA, PA 19107-4414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD047292L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001285291
—
PA
05
—
7710607
—
NJ
Enumeration date
07/21/2006
Last updated
12/10/2014
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