institution
Lyle T. Modlin, Dpm Pa
Foot & Ankle Surgery Podiatrist in Annapolis, Maryland
NPI 1134251895

Lyle T. Modlin, Dpm Pa is a Foot & Ankle Surgery Podiatrist based in Annapolis, MD and is specialized in Foot & Ankle Surgery. Lyle T. Modlin, Dpm Pa practices in Annapolis, MD. The NPI Number for Lyle T. Modlin, Dpm Pa is 1134251895 and holds a License No. 00631 (Maryland).

The current practice location address for Lyle T. Modlin, Dpm Pa is 43 Old Solomons Island Rd, Annapolis, MD and can be reached out via phone at 410-263-3100 and via fax at 410-263-7380.

Location: 43 Old Solomons Island Rd, Annapolis, MD, 21401-3850
institution
Provider Profile Details
NPI Number
1134251895
Provider Name
Lyle T. Modlin, Dpm Pa
Credential
Provider Entity Type
Organization
Address
43 Old Solomons Island Rd, Annapolis, MD, 21401-3850
Phone Number
410-263-3100
Fax Number
410-263-7380
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
463068800 05 MD
408190100 05 MD
institution
Provider Business Practice Location Address Details
Address
43 Old Solomons Island Rd
City
State
Zip
21401-3850
Phone Number
410-263-3100
Fax Number
410-263-7380
person
Provider Business Mailing Address Details
Address
43 Old Solomons Island Rd
City
State
Zip
21401-3850
Phone Number
410-263-3100
Fax Number
410-263-7380
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
00631 (Maryland)
Definition
Definition to come...
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