Individual
DR. ERIC J LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., PA
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
103TC0700X
Clinical Psychologist
Primary
04531
MD
Other
Enumeration date
08/19/2006
Last updated
06/08/2011
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