Individual
ALICIA JEAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
520 MAIN ST, DOWAGIAC, MI 49047-1762
(269) 783-3052
Mailing address
1014 WESTMORELAND AVE, KALAMAZOO, MI 49006-5544
(517) 494-0833
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704343669
MI
Other
Enumeration date
06/25/2019
Last updated
08/25/2022
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