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Individual

MOLLY MILJUS LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2451 UNIVERSITY HOSPITAL DR, MOBILE, AL 36617-2300
(251) 471-7000
Mailing address
11 OAKLAND TER, MOBILE, AL 36604-2530

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-166224
AL

Other

Enumeration date
08/16/2024
Last updated
08/16/2024
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