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Individual

CRYSTAL M LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A-GNP-C

Contact information

Practice address
1991 BALSLEY RD, SENECA FALLS, NY 13148-6725
(315) 539-9229
(315) 539-0940
Mailing address
4057 E LAKE RD, CANANDAIGUA, NY 14424-9710
(315) 719-1704

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310962
NY

Other

Enumeration date
10/13/2022
Last updated
10/13/2022
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