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Individual
LANE MICHAEL SAWYER
Active
Individual
LANE MICHAEL SAWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, APRN, AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28251354A
IN
363LA2100X
Acute Care Nurse Practitioner
71011450A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
1831783299
IN
Other
Enumeration date
08/31/2020
Last updated
03/06/2024
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