| NPI | 1265782080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE D LANE President 703-786-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103001044) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2013-12-18 |