Individual
COURTNEY ANNE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
145 MICHIGAN ST NE, SUITE 4100, GRAND RAPIDS, MI 49503
(616) 486-5993
(616) 486-6345
Mailing address
145 MICHIGAN ST NE, SUITE 4100, GRAND RAPIDS, MI 49503
(616) 486-5993
(616) 486-6345
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704300862
MI
Other
Enumeration date
08/05/2013
Last updated
08/12/2022
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