Individual
MARSHELL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
760 S KINGSHIGHWAY ST STE F, CAPE GIRARDEAU, MO 63703-7676
(573) 335-4333
Mailing address
760 S KINGSHIGHWAY ST STE F, CAPE GIRARDEAU, MO 63703-7676
(573) 335-4333
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010037468
MO
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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