Individual
CARLA JAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 SOUTH LANCASTER RD., DALLAS, TX 75216-7191
(214) 857-0805
Mailing address
4500 SOUTH LANCASTER RD., DALLAS, TX 75216-7191
(214) 857-0805
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
540766
TX
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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