Individual
ASHLEY MICHELLE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6252
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
228128
SC
163WE0003X
Emergency Registered Nurse
928599
TX
363L00000X
Nurse Practitioner
Primary
23580
SC
363LF0000X
Family Nurse Practitioner
AP142582
TX
Other
Enumeration date
04/04/2019
Last updated
01/13/2020
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