Individual
COURTNEY ELIZABETH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
(541) 789-7111
Mailing address
2825 E BARNETT RD, MSS, MEDFORD, OR 97504-8332
(541) 789-4281
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10031548
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
274684
AZ
Other
Enumeration date
05/16/2022
Last updated
02/27/2026
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