Individual
JEFFREY H LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
183 BOSTON POST RD, EAST LYME, CT 06333-1605
(860) 739-7786
(860) 739-6473
Mailing address
183 BOSTON POST RD, EAST LYME, CT 06333-1605
(860) 739-7786
(860) 739-6473
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
024986
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001249861
—
CT
Enumeration date
07/25/2006
Last updated
05/01/2008
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