Individual
MS. ALISA MARIE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
346 DELAWARE AVE, BUFFALO, NY 14202-1804
(716) 856-7500
Mailing address
346 DELAWARE AVE, BUFFALO, NY 14202-1804
(716) 856-7500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
284284
NY
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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