Individual
MRS. KIMBERLY DIANE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1455 VAN ZANDT COUNTY ROAD 3812, WILLS POINT, TX 75169
(214) 507-0900
Mailing address
1455 VAN ZANDT COUNTY ROAD 3812, WILLS POINT, TX 75169
(214) 507-0900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
847495
TX
Other
Enumeration date
12/12/2018
Last updated
12/12/2018
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