Organization
LANE WOMEN'S HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHERECA EDMERSON LANE MD (OWNER/PHYSICIAN)
(513) 394-0070
Entity
Organization
Contact information
Practice address
891 W NORTH BEND RD, CINCINNATI, OH 45224-1340
(513) 394-0070
Mailing address
PO BOX 43141, CINCINNATI, OH 45243-0141
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35126683
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147976
—
OH
Enumeration date
02/22/2018
Last updated
02/22/2018
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