Individual
MS. CATHY S LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103
(901) 545-7100
Mailing address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
5342
TN
363LC0200X
Critical Care Medicine Nurse Practitioner
5342
TN
363LF0000X
Family Nurse Practitioner
Primary
5342
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341196
—
TN
Enumeration date
04/25/2006
Last updated
08/01/2019
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