Individual
MRS. AUTUMN LEA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
700 CHILDRENS DRIVE, COLUMBUS, OH 43205
(614) 722-6510
(722) 722-4772
Mailing address
700 CHILDRENS DRIVE, J4 NICU NNP PROGRAM, COLUMBUS, OH 43205
(614) 722-6510
(722) 722-4772
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN.CNP.08976
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
APRN.CNP.08976
OH
Other
Enumeration date
07/09/2008
Last updated
04/25/2025
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