Individual
MRS. LANE S RAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
824 GREENBRIER PKWY, SUITE 100, CHESAPEAKE, VA 23320-3697
(757) 410-7390
(757) 410-7395
Mailing address
914 GRAYDON AVE, NORFOLK, VA 23507-1208
(757) 624-9518
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024062335
VA
Other
Enumeration date
07/14/2005
Last updated
07/08/2007
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