| NPI | 1467472621 |
|---|---|
| Other Name | LANE F. DONNELLY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: NC 9700929) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CA G152307) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G152307) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-06-03 |