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Individual

MRS. AMY PALESTINA LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CST

Contact information

Practice address
2731 NAPOLEON AVE, NEW ORLEANS, LA 70115-6913
(504) 897-6351
Mailing address
1432 FIELD AVE, METAIRIE, LA 70001-3229
(504) 298-4711

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
107999
LA

Other

Enumeration date
11/09/2009
Last updated
11/09/2009
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