Individual
MS. DAWN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6301 RIVERDALE AVE, THE BRONX, NY 10471
(718) 405-3200
Mailing address
5132 AVALON VALLEY DRIVE, DANBURY, CT 06810
(203) 687-5946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F345247-01
NY
363LF0000X
Family Nurse Practitioner
Primary
F345247-01
NY
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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