Individual
MS. BRENDA LANE
Active
Individual
MS. BRENDA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
332286
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02393520
—
NY
01
—
BB7606
MEDICARE ID
—
Enumeration date
04/11/2006
Last updated
04/10/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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