Individual
ANGELA S LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
161 MOUNT PELIA RD, MARTIN, TN 38237-3811
(731) 588-0001
(731) 587-2775
Mailing address
219 PAIR RD, MARTIN, TN 38237-5662
(731) 588-0001
(731) 587-2775
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN 12520
TN
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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