Individual
PATRICIA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN PHD SNP
Contact information
Practice address
8101 SIMON ST, METAIRIE, LA 70003-6427
(504) 737-5523
(504) 737-2649
Mailing address
8101 SIMON ST, METAIRIE, LA 70003-6427
(504) 737-5523
(504) 737-2649
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
041019
LA
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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