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Individual

MRS. JANUARY LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, NNP, RNC-LRN

Contact information

Practice address
601 ELMWOOD AVE, DEPT OF PEDIATRICS-NEONATOLOGY BOX 651, ROCHESTER, NY 14642-0001
(585) 275-2972
Mailing address
771 ELMWOOD TER, ROCHESTER, NY 14620-3715
(757) 589-1457

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
35 350380
NY
363LP0200X
Pediatric Nurse Practitioner
350380
NY

Other

Enumeration date
03/20/2015
Last updated
05/15/2023
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