Individual
DR. GEORGE DOUGLAS LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
510 W ANNANDALE RD, FALLS CHURCH, VA 22046-4226
(703) 237-3930
(703) 649-4233
Mailing address
510 W ANNANDALE RD, FALLS CHURCH, VA 22046-4226
(703) 237-3930
(703) 649-4233
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103001044
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9302719
—
VA
Enumeration date
11/28/2005
Last updated
07/23/2013
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