Individual
ANDREW LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, LNHA
Contact information
Practice address
101 BLUE WATER DR, SAINT PETERS, MO 63366-3239
(573) 275-3014
Mailing address
101 BLUE WATER DR, SAINT PETERS, MO 63366-3239
(573) 275-3014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015020848
MO
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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