Individual
DR. DOUGLAS MICHAEL LANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 WASHINGTON ST, STE 304, HOLLYWOOD, FL 33021-8256
(954) 961-1500
(954) 961-7942
Mailing address
3700 WASHINGTON ST, STE 304, HOLLYWOOD, FL 33021-8256
(954) 961-1500
(954) 961-7942
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME77396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257355500
—
FL
Enumeration date
03/29/2006
Last updated
05/07/2009
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