Individual
BAMBI LEE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
119 N HART ST, MEADE, KS 67864-6402
(620) 873-2112
Mailing address
119 N HART ST, MEADE, KS 67864-6402
(620) 873-2112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-80744-102
KS
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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