Individual
DR. MODISH JEAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23250 CHAGRIN BLVD, 110, BEACHWOOD, OH 44122-5470
(216) 591-1862
(216) 591-9399
Mailing address
23250 CHAGRIN BLVD, 110, BEACHWOOD, OH 44122-5470
(216) 591-1862
(216) 591-9399
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35049505
OH
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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