Individual
MRS. ALICIA E LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, BSN, RN
Contact information
Practice address
19346 NORDHOFF ST, NORTHRIDGE, CA 91324-2415
(818) 727-2040
Mailing address
5407 COLFAX AVE APT 401, NORTH HOLLYWOOD, CA 91601-5213
(732) 682-9623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00475500
NJ
363LF0000X
Family Nurse Practitioner
Primary
95003883
CA
Other
Enumeration date
12/26/2013
Last updated
11/20/2017
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