person
Lyle Terrence Modlin, DPM
Foot & Ankle Surgery Podiatrist in Annapolis, Maryland
NPI 1851307045

Lyle Terrence Modlin is a Foot & Ankle Surgery Podiatrist based in Annapolis, MD and is specialized in Foot & Ankle Surgery. Lyle Terrence Modlin practices in Annapolis, MD and has the professional credentials of DPM. The NPI Number for Lyle Terrence Modlin is 1851307045 and holds a License No. 00631 (Maryland).

The current practice location address for Lyle Terrence Modlin 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
person
Provider Profile Details
NPI Number
1851307045
Provider Name
Lyle Terrence Modlin
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
43 Old Solomons Island Rd, Annapolis, MD, 21401-3850
Phone Number
410-263-3100
Fax Number
410-263-7380
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
463068800 05 MD
4081901 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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