Individual
CHARLENE MARIE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 969-7979
Mailing address
6910 LIBERTY ST, NAVARRE, FL 32566-8613
(850) 939-7238
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9227595
FL
Other
Enumeration date
08/27/2007
Last updated
10/07/2011
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