Whalio Doctors

NPI 1215920301

Jennifer Mary Lane, MD

Practitioner Surgery Physician Stoneham, MA

Practice location

Address
91 Montvale Ave STE 208, Stoneham, MA 02180-3649
Phone
(781) 306-6166
Fax
(781) 418-1919

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 247127 (MA)

Registry record

NPI
1215920301
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Aug 2005
Record last updated
18 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.