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Individual

LANEA MARIE MARCELLE KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
333 COTTMAN AVE, DEPT RADIATION ONCOLOGY, PHILADELPHIA, PA 19111-2434
(215) 728-2581
Mailing address
333 COTTMAN AVE, DEPARTMENT OF RADIATION ONCOLOGY, PHILADELPHIA, PA 19111-2434

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
125-054513
IL
2085R0001X
Radiation Oncology Physician
441458
PA

Other

Enumeration date
06/21/2008
Last updated
05/06/2013
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