Organization
GERALD LANE D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD LANE DO (PHYSICIAN)
(614) 451-8770
Entity
Organization
Contact information
Practice address
1275 OLENTANGY RIVER RD, SUITE 202, COLUMBUS, OH 43212-3119
(614) 451-8770
(614) 451-2291
Mailing address
5250 BETHEL REED PARK, COLUMBUS, OH 43220-1811
(614) 451-8770
(614) 451-2291
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
34004829
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0752672
—
OH
Enumeration date
02/28/2008
Last updated
06/17/2008
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