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Individual

KAYLA LIVINGSTON LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1345 REDMOND CIR NW, ROME, GA 30165-1307
(910) 742-9243
(888) 746-1787
Mailing address
PO BOX 538622, ATLANTA, GA 30353-8622
(910) 742-9243

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11026096
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN176571
GA

Other

Enumeration date
06/01/2023
Last updated
10/28/2025
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