Individual
CHRISTINE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16105 MANCHESTER RD, ELLISVILLE, MO 63011-2001
(866) 825-3227
Mailing address
1296 JEFFCO BLVD, ARNOLD, MO 63010-2138
(636) 321-8618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2009034995
MO
363LF0000X
Family Nurse Practitioner
2009034995
MO
Other
Enumeration date
02/19/2010
Last updated
10/28/2020
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