Individual
TRICIA S LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 3, BOSTON, MA 02115-5724
(617) 355-5226
(617) 730-0477
Mailing address
270 W WYOMING AVE, MELROSE, MA 02176-3622
(781) 620-1984
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
228492
MA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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