Individual
JOANN A LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
347 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2744
(973) 571-2121
Mailing address
347 MT. PLEASANT AVE, WEST ORANGE, NJ 07052
(908) 410-9318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00286900
NJ
Other
Enumeration date
09/07/2010
Last updated
12/09/2011
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