Individual
DR. ELIZABETH WALDMAN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
608 GARRATY RD, SAN ANTONIO, TX 78209-6149
(210) 355-5069
Mailing address
608 GARRATY RD, SAN ANTONIO, TX 78209-6149
(210) 355-5069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K7046
TX
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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