Individual
WAYNE CURTIS LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2816 CROWN CIR, SALEM, VA 24153-8119
(540) 765-4762
Mailing address
891 CROWN CIRCLE, SALEM, VA 24153-8119
(540) 765-4762
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
039173
NC
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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