Individual
MS. BARBARA JO LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
2400 NORTHERN VISIONS DR, TRAVERSE CITY, MI 49684
(231) 922-9625
(231) 929-5594
Mailing address
2400 NORTHERN VISIONS DR, TRAVERSE CITY, MI 49684
(231) 922-9625
(231) 929-5594
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704191326
MI
Other
Enumeration date
02/28/2013
Last updated
07/18/2019
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