Ridley-Lane, Megan Lola

Ridley-Lane, Megan Lola is an individual health care provider with primary practice located at 635 W 165Th St , New York NY 10032-3724. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Ridley-Lane, Megan Lola can be contacted via phone (212) 305-3015.

Contact Information

Primary practice address
635 W 165Th St New York NY 10032-3724
Phone: (212) 305-3015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 283149 New York

Profile Details

NPI number 1619237443
LBN Legal business name Ridley-Lane, Megan Lola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2012
Last updated May 4th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619237443 NPPES
New York MEDICAID 04408706

Popular Providers