Individual
SALLY D LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5735 RIDGE AVE, SUITE 103, PHILADELPHIA, PA 19128-1745
(215) 487-3070
(215) 487-2362
Mailing address
5735 RIDGE AVE, SUITE 103, PHILADELPHIA, PA 19128-1745
(215) 487-3070
(215) 487-2362
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD17324E
PA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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