DR. Modish Jean Lane, M.D.

NPI #1851430417 in Beachwood, Ohio

Provider Information

NPI Number
1851430417
Entity Type
Individual
Name
DR. Modish Jean Lane, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Gastroenterology
Credential
M.D.
Enumeration Date
Feb 6, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
23250 CHAGRIN BLVD
Address 2
110
State
Ohio
ZIP Code
44122-5470
Phone
(216) 591-1862

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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