Individual
JANET LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, ICP
Contact information
Practice address
1945 DAVIS DR, GADSDEN, AL 35904-3276
(256) 547-4938
(256) 547-0773
Mailing address
814 VINEYARD RD, ALEXANDRIA, AL 36250-5358
(256) 613-8456
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-062826
AL
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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