Individual
HEATHER R LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
905 CULVER RD, ROCHESTER, NY 14609-7115
(585) 275-7892
Mailing address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 275-7892
(585) 482-1666
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
001382
NY
367A00000X
Advanced Practice Midwife
1382
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03221308
—
NY
Enumeration date
02/12/2007
Last updated
07/06/2023
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