Individual
FRANCES EVANGELINE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42466 HIGHWAY 195, HALEYVILLE, AL 35565-7052
(205) 486-8597
Mailing address
2607 11TH AVE, HALEYVILLE, AL 35565-1760
(256) 221-2811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15463
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15463
BOARD OF PHARMACY
AL
Enumeration date
06/29/2017
Last updated
06/29/2017
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