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Individual
MR. THOMAS JASON LANE
Active
Individual
MR. THOMAS JASON LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
005002027
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
005002027
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006352
—
NC
Enumeration date
08/21/2006
Last updated
01/17/2024
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