Individual
GERALD LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 CONGRESS PL, FITCHBURG, MA 01420-7812
(978) 855-6539
Mailing address
9 CONGRESS PL, FITCHBURG, MA 01420-7812
(978) 855-6539
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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