Individual
MS. LANE LOUISE PETRI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A/GNP
Contact information
Practice address
1921 W HOSPITAL DR, TUCSON, AZ 85704-7806
(520) 544-5210
(520) 544-5355
Mailing address
1921 W HOSPITAL DR, TUCSON, AZ 85704-7806
(520) 544-5210
(520) 544-5355
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN053461
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790795
—
AZ
Enumeration date
08/02/2005
Last updated
07/08/2007
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