IndividualActive
Rebecca Lane, M.D.
NPI 1487031704 · Developmental - Behavioral Pediatrics Physician · Philadelphia, PA
Provider details
- NPI number
- 1487031704
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4301107078 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone: (215) 590-6336
Approximate (ZIP-level) locationGet directions
Mailing address
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Registry dates
- Enumerated
- 2015-05-06
- Last updated
- 2018-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.