Individual
MALYNDA CHRISTINE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1000 E CHERRY ST, TROY, MO 63379-1513
(636) 528-3486
(636) 528-3419
Mailing address
1000 E CHERRY ST, TROY, MO 63379-1513
(636) 352-9215
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2016023910
MO
363LF0000X
Family Nurse Practitioner
2016023910
MO
363LF0000X
Family Nurse Practitioner
95001746
CA
Other
Enumeration date
08/17/2015
Last updated
04/16/2024
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