Individual
KATHLEEN A. LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3745 33RD ST N STE A, ST PETERSBURG, FL 33713-1556
(727) 231-0154
Mailing address
1528 INDIAN ROCKS RD S, LARGO, FL 33770-4531
(727) 729-3046
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
9232553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9232553
ARNP LICENSE NUMBER
FL
Enumeration date
06/06/2007
Last updated
07/08/2007
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