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Individual
SHANNON R LANE
Active
Individual
SHANNON R LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016035
IL
363LF0000X
Family Nurse Practitioner
4704384682
MI
363LF0000X
Family Nurse Practitioner
ARNP.AP.70113006-NP
WA
Other
Enumeration date
06/13/2017
Last updated
07/13/2026
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