Organization
ERIC J LANE PSY D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC J LANE PSY.D. (PRESIDENT)
(443) 280-2916
Entity
Organization
Contact information
Practice address
1104 KENILWORTH DR, SUITE 302, TOWSON, MD 21204-2101
(443) 280-2916
(410) 377-4844
Mailing address
1104 KENILWORTH DR, SUITE 302, TOWSON, MD 21204-2101
(443) 280-2916
(410) 377-4844
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04531
MD
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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