License holder summary

LANE SUSAN WALLACE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for LANE SUSAN WALLACE is STONY BROOK NY. This doctor license is current. The license was granted 03/14/1995 and expired on 06/30/2016.

New York

Office of the Professions

LANE SUSAN WALLACE
Medicine (Physician, Including M Ds & D Os)
License number
198710
Date granted
03/14/1995
Date expires
06/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
STONY BROOK NY
nymedicine.org
ID 30196950
LAST UPDATED 2026-06-05 16:07:24 UTC

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