Individual
MRS. CHERYL ANDERSON LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
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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