Individual
MRS. MARY ALICE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN574396
Contact information
Practice address
5231 PENN AVE, PITTSBURGH, PA 15224-1768
(412) 204-9019
Mailing address
1122 STANTON TER, PITTSBURGH, PA 15201-1620
(412) 781-0577
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN574396
PA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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