Individual
LANE GILLIAN DARRAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 316-2605
Mailing address
720 RALPH MCGILL BLVD NE UNIT 425, ATLANTA, GA 30312-1192
(404) 316-2605
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN249663
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN249663
GA
Other
Enumeration date
01/28/2019
Last updated
10/14/2025
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