Individual ProviderCynthia A Shelby-LaneInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address29488 Woodward Ave, #177, Royal Oak, MI 48073-0903(313) 492-0427(800) 584-4926PECOS EnrollmentBased on the most recent information from CMS, provider Cynthia A Shelby-Lane does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1740240035Provider TypeIndividualFull NameShelby-Lane, Cynthia ATitleDr.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date3/23/2006Last Updated1/13/2015Contact InformationPractice LocationPractice Address29488 Woodward Ave, #177, Royal Oak, MI 48073-0903Phone(313) 492-0427FaxUnlisted FaxMailing LocationMailing Address29488 Woodward Ave, #177, Royal Oak, MI 48073-0903Phone(800) 584-4926FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301041438Michigan