Individual
RENEE C LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1925 E. ORMAN AVE. STE. A109, PUEBLO, CO 81004
(719) 564-0210
(719) 564-9483
Mailing address
1925 E. ORMAN AVE. STE. A109, PUEBLO, CO 81004
(719) 564-0210
(719) 564-9483
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001953
CO
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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