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Individual

MRS. CHERYL ANDERSON LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-BC

Contact information

Practice address
1717 6TH AVE S, SPAIN REHAB CENTER RM 156, BIRMINGHAM, AL 35233-1801
(205) 934-2747
(205) 975-9592
Mailing address
1717 6TH AVE S, SPAIN REHAB CENTER RM 156, BIRMINGHAM, AL 35233-1801
(205) 934-2747
(205) 975-9592

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-041820
AL
363LF0000X
Family Nurse Practitioner
1-041820
AL

Other

Enumeration date
11/02/2007
Last updated
11/02/2007
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