| Gerald Lane D.o. | |
|
1275 Olentangy River Rd Suite 202 Columbus OH 43212-3119 | |
| (614) 451-8770 | |
| (614) 451-2291 |
| Full Name | Gerald Lane D.o. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1275 Olentangy River Rd, Columbus, Ohio |
| Authorized Official Name and Position | Gerald Lane (PHYSICIAN) |
| Authorized Official Contact | 6144518770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Lane D.o. 5250 Bethel Reed Park Columbus OH 43220-1811 Ph: (614) 451-8770 | Gerald Lane D.o. 1275 Olentangy River Rd Suite 202 Columbus OH 43212-3119 Ph: (614) 451-8770 |
| NPI Number | 1659540136 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659540136 | NPI | - | NPPES |
| 0752672 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 34004829 (Ohio) | Primary |
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