Individual
AMBER LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 MED TECH PKWY, JOHNSON CITY, TN 37604-2277
(423) 302-3100
Mailing address
2823 S ROAN ST, APT 207, JOHNSON CITY, TN 37601-7692
(276) 220-5484
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001225785
VA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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