Individual
MARY ANNE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
340 SEMINARY ST., KENANSVILLE, NC 28349
(910) 296-2130
(910) 296-2139
Mailing address
350 LUDIE BROWN RD, CHINQUAPIN, NC 28521-8638
(910) 285-4651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
063889
NC
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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