Individual
KAREN ELIZABETH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
730 GLYNN ST S, FAYETTEVILLE, GA 30214-2050
(770) 460-3650
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0394
(904) 282-6331
(904) 282-1550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2084672
FL
363LF0000X
Family Nurse Practitioner
Primary
RN145860
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001441400
—
FL
Enumeration date
08/08/2009
Last updated
04/20/2022
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