Individual
KATIE ELIZABETH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 BEECHWOOD BLVD, MURFREESBORO, NC 27855-1134
(252) 398-3323
Mailing address
348 RYLAND RD, TYNER, NC 27980-9788
(252) 340-2733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5021459
NC
363LF0000X
Family Nurse Practitioner
Primary
5021459
NC
Other
Enumeration date
01/10/2025
Last updated
03/31/2025
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