Individual
CRAIG R LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
911 N CAREY STREET, BALTIMORE, MD 21217
(410) 523-5898
(410) 523-5815
Mailing address
911 N CAREY STREET, BALTIMORE, MD 21217
(410) 523-5898
(410) 523-5815
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01178
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403809600
—
MD
Enumeration date
09/29/2006
Last updated
07/18/2008
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