Individual
MOLLIE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 IRVING ST NW, DEPT OF PULMONARY DISEASE/CRITICAL CARE MEDICINE, WASHINGTON, DC 20010-3017
(202) 877-7856
(202) 877-6130
Mailing address
110 IRVING ST NW, DEPT OF PULMONARY DISEASE/CRITICAL CARE MEDICINE, WASHINGTON, DC 20010-3017
(202) 877-7856
(202) 877-6130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD043262
DC
207RP1001X
Pulmonary Disease Physician
Primary
MD043262
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2012
Last updated
08/16/2015
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