Lane, George Douglas

Lane, George Douglas is an sole proprietor health care provider with primary practice located at 510 W Annandale Rd , Falls Church VA 22046-4226. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Lane, George Douglas can be contacted via phone (703) 237-3930.

Contact Information

Primary practice address
510 W Annandale Rd Falls Church VA 22046-4226
Phone: (703) 237-3930
Fax: (703) 649-4233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 0103001044 Virginia

Profile Details

NPI number 1770566408
LBN Legal business name Lane, George Douglas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2005
Last updated Jul 23rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770566408 NPPES
Virginia MEDICAID 9302719

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