IndividualActive
Gwendolyn Lane
NPI 1659239879 · Homemaker · Philadelphia, PA
Provider details
- NPI number
- 1659239879
- Entity type
- Individual
- Primary specialty
- HomemakerNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 27834708 (PA)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
5327 Willows Ave
1723 S 56 Th St
Philadelphia, PA 19143-4127
Phone: (215) 617-1175
Approximate (ZIP-level) locationGet directions
Mailing address
5327 Willows Ave
Philadelphia, PA 19143-4127
Registry dates
- Enumerated
- 2026-01-15
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.