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Organization
464 WELLNESS SOLUTIONS LLC
Active
Organization
464 WELLNESS SOLUTIONS LLC
Active
Other names
Lane Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA LANE NP (CEO)
(706) 207-5860
Entity
Organization
Contact information
Practice address
3184 TURMAN RD, EDISON, GA 39846-7407
(706) 916-7716
Mailing address
PO BOX 822, COOLIDGE, GA 31738-0822
(706) 916-7716
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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