ANTHERECA E LANE

GOSHEN, IN
NPI1073722179
Former NameANTHERECA E EDMERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IN  01063792A)
Additional Taxonomies207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine
(Licence: TX  BP2-0019595)
Enumeration Date2007-05-22
Last Update Date2010-08-30
Business Address
-- ANTHERECA E LANE MD
1111 LIGHTHOUSE LANE
GOSHEN, IN 46526-3824
Phone number: 574-533-0348
Mailing Address
-- ANTHERECA E LANE MD
1111 LIGHTHOUSE LANE
GOSHEN, IN 46526-3824
Phone number: 574-533-0348