| Gerald W. Lane, Inc. | |
|
6530 Brodie Blvd. Dublin OH 43017 | |
| (614) 447-7898 | |
| Not Available |
| Full Name | Gerald W. Lane, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6530 Brodie Blvd., Dublin, Ohio |
| Authorized Official Name and Position | Gerald W. Lane (OWNER) |
| Authorized Official Contact | 6144477898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald W. Lane, Inc. 6530 Brodie Blvd Dublin OH 43017-8009 Ph: (614) 946-3588 | Gerald W. Lane, Inc. 6530 Brodie Blvd. Dublin OH 43017 Ph: (614) 447-7898 |
| NPI Number | 1689705485 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689705485 | NPI | - | NPPES |
| 0752672 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-00-4829 (Ohio) | Primary |
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