Individual
MS. KRISTINA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
41 HIGHLAND AVE, WINCHESTER, MA 01890-1446
(781) 729-9000
Mailing address
4100 ELDORADO PKWY, STE 100 - #311, MCKINNEY, TX 75070-4530
(617) 875-1817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
199775
MA
367500000X
Certified Registered Nurse Anesthetist
076591-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
AP143466
TX
Other
Enumeration date
02/10/2011
Last updated
03/26/2022
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