Individual
LANE K. SHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1098 W BALTIMORE PIKE, SUITE 3109, MEDIA, PA 19063-5139
(484) 443-2880
(484) 443-2885
Mailing address
1098 W BALTIMORE PIKE, SUITE 3109, MEDIA, PA 19063-5139
(484) 443-2880
(484) 443-2885
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS005502L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012729450007
—
PA
Enumeration date
03/14/2006
Last updated
11/12/2014
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