Individual
AMBER LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 MAIN ST, WHEELING, WV 26003-2829
(304) 905-9860
Mailing address
2000 MAIN ST, WHEELING, WV 26003-2829
(304) 905-9860
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538382551
—
WV
Enumeration date
01/28/2022
Last updated
01/28/2022
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