Individual
MS. BETTY SUSAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MSN, BSN, FNP
Contact information
Practice address
101 LEXINGTON CIR, PEACHTREE CITY, GA 30269-6845
(866) 389-2727
(401) 652-9787
Mailing address
815 SMOKEY WAY, PEACHTREE CITY, GA 30269-3383
(770) 891-2689
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN136886
GA
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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