Individual
ALYXANDRA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8307 W LAWRENCE AVE, NORRIDGE, IL 60706-3129
(708) 452-0920
Mailing address
8307 W LAWRENCE AVE, NORRIDGE, IL 60706-3129
(708) 452-0920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209026413
IL
Other
Enumeration date
12/09/2022
Last updated
06/02/2023
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