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HIEDI CHRISTINE LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1200 E MADISON AVE, FAIRFIELD, IA 52556
(319) 321-0798
Mailing address
1200 E MADISON AVE, FAIRFIELD, IA 52556
(319) 321-0798

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A-107550
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G-107550
IA

Other

Enumeration date
11/03/2010
Last updated
08/16/2021
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