Individual
ANNALIISA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3155 EDLING DR, KALAMAZOO, MI 49004-1150
(517) 936-0859
Mailing address
3155 EDLING DR, KALAMAZOO, MI 49004-1150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703091663
MI
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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