Individual
CHALEAH M LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(844) 458-2100
Mailing address
29 N 194TH WEST AVE, SAND SPRINGS, OK 74063-7366
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
222709
OK
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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