Individual
MRS. PAMELA J LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-8630
(774) 441-6710
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-8105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN277615
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN277615
MA
363LF0000X
Family Nurse Practitioner
277615
MA
Other
Enumeration date
04/05/2013
Last updated
10/31/2022
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