Individual
SHELLEY MARIE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3500 SW 6TH AVE, TOPEKA, KS 66606-2806
(785) 235-0335
(785) 235-0368
Mailing address
3500 SW 6TH AVE, TOPEKA, KS 66606-2806
(785) 235-0335
(785) 235-0368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45097
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161048
BLUE CROSS BLUE SHIELD
KS
01
—
389081
FIRSTGUARD
KS
Enumeration date
08/17/2006
Last updated
07/08/2007
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