Individual
LANE DUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
910 E HOUSTON ST STE 100, TYLER, TX 75702-8363
(903) 606-8718
(903) 606-1218
Mailing address
910 E HOUSTON ST STE 100, TYLER, TX 75702-8363
(903) 606-8718
(903) 606-1218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395024803
—
TX
01
—
8LY464
BCBS
TX
01
—
930848
MEDICARE
TX
01
—
P02416489
MEDICARE RAIL ROAD
TX
Enumeration date
12/26/2018
Last updated
11/13/2025
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