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Organization

GERALD W. LANE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD W. LANE D.O. (OWNER)
(614) 447-7898
Entity
Organization

Contact information

Practice address
6530 BRODIE BLVD., DUBLIN, OH 43017
(614) 447-7898
Mailing address
6530 BRODIE BLVD, DUBLIN, OH 43017-8009
(614) 946-3588

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-4829
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0752672
OH
Enumeration date
03/07/2007
Last updated
11/24/2008
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