Provider Demographics
NPI:1902984735
Name:LANE, DANIELLE E (MD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:E
Last Name:LANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:101 ROWLAND WAY STE 305
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-5056
Mailing Address - Country:US
Mailing Address - Phone:415-893-0391
Mailing Address - Fax:415-475-7727
Practice Address - Street 1:101 ROWLAND WAY STE 305
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-5056
Practice Address - Country:US
Practice Address - Phone:415-893-0391
Practice Address - Fax:415-475-7727
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2024-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA78732207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology