Search › Pennsylvania › 376J00000X
Gwendolyn Lane
NPI 1659239879 · on the registry since 2026 · sole proprietor
Practice
- Address
- 5327 Willows Ave
1723 S 56 Th St
Philadelphia, PA 19143 - Phone
- (215) 617-1175
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania