Individual
CASEY L LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
2715 E BATTLEFIELD ST, SPRINGFIELD, MO 65804-3981
(417) 888-0298
Mailing address
2715 E BATTLEFIELD ST, SPRINGFIELD, MO 65804-3981
(417) 888-0298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017034127
MO
Other
Enumeration date
11/13/2017
Last updated
08/15/2024
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