# LANE WOMEN'S HEALTH GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265760235
- **Authorized official:** MRS. COLLETTE K KEITH (PRACTICE MANAGER)
- **Authorized official phone:** (716) 484-9194

## Contact information

- **Practice address:** 400 FOOTE AVE, JAMESTOWN, NY 14701
- **Practice address phone:** (716) 484-9194
- **Practice address fax:** (716) 484-0115
- **Mailing address:** 400 FOOTE AVE, JAMESTOWN, NY 14701-6800
- **Mailing address phone:** (716) 484-9194
- **Mailing address fax:** (716) 484-9148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 131973 | NY | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 199070 | NY | — |
| 363LF0000X | Family Nurse Practitioner | F334150 | NY | — |
| 363LW0102X | Women's Health Nurse Practitioner | MW417569 | NY | — |
| 364SW0102X | Women's Health Clinical Nurse Specialist | — | NULL | — |
| 364SW0102X | Women's Health Clinical Nurse Specialist | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 12/02/2009
- **Last updated:** 09/12/2022