LANE PRESTON FODEL

BALTIMORE, MD
NPI1295026292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MD  R165067)
Enumeration Date2011-04-25
Last Update Date2012-11-02
Business Address
-- LANE PRESTON FODEL CRNP
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-9503
Mailing Address
-- LANE PRESTON FODEL CRNP
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-9503