Individual
TANNHYA LYNDSEY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6371 JESSIE LN, CLEMMONS, NC 27012-9887
(336) 740-9060
(336) 740-9659
Mailing address
PO BOX 604050, CHARLOTTE, NC 28260-4050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014232
NC
363LF0000X
Family Nurse Practitioner
5014232
NC
Other
Enumeration date
04/05/2021
Last updated
11/16/2021
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