Individual provider · Type 1 NPI

Mallory Brynn Lane, MD

Student in an Organized Health Care Education/Training Program · Waxahachie, TX

NPI number 1205778032 Active

Practice location

2400 N Interstate Highway 35 E
Waxahachie, TX 75165-5240

Call (214) 820-0111 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205778032

Mallory Brynn Lane, MD's National Provider Identifier is 1205778032, issued on Apr 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waxahachie, TX. The record was last updated on Apr 9, 2026.