Individual
JENA LEAH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-0000
Mailing address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28168880A
IN
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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