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Individual

GREG LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, NP-C

Contact information

Practice address
6001 TRUXTUN AVE STE 120, BAKERSFIELD, CA 93309-0675
(661) 489-5999
Mailing address
119 MCKELVEY AVE, BAKERSFIELD, CA 93308-1239
(661) 829-7477

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN469260
CA
363L00000X
Nurse Practitioner
Primary
NP95018834
CA

Other

Enumeration date
05/14/2019
Last updated
10/28/2021
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