Individual
LAURA ANNE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F350414-1
NY
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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