Individual
JONATHAN LANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2942
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-4700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1014859
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
03/23/2020
Last updated
05/03/2025
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