Individual
EDITH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 525-8001
(903) 525-3858
Mailing address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 525-8001
(903) 525-3858
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
327721
TX
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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