Individual
DR. JENNIFER MARY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
91 MONTVALE AVE STE 208, STONEHAM, MA 02180-3649
(781) 306-6166
(781) 418-1919
Mailing address
91 MONTVALE AVE STE 208, STONEHAM, MA 02180-3649
(781) 306-6166
(781) 418-1919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
247127
MA
Other
Enumeration date
08/24/2005
Last updated
02/18/2021
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