Individual
SHAYLA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
Mailing address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
15489
NE
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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