Individual
ELIZABETH A LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 1, JOHNSON CITY, TN 37604
(423) 439-7272
(423) 439-7235
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7272
(423) 439-7235
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1870
TN
Other
Enumeration date
06/21/2013
Last updated
08/24/2018
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