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1295026292
LANE PRESTON FODEL
BALTIMORE, MD
NPI
1295026292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MD R165067)
Enumeration Date
2011-04-25
Last Update Date
2012-11-02
Business Address
-- LANE PRESTON FODEL CRNP
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-9503
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Mailing Address
-- LANE PRESTON FODEL CRNP
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-9503
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